RN Case Manager: Discharge & Utilization Leader

The Valley Health System; Spring Valley (NV); On-site; USD 90,000 - 110,000; Full time

Job summary

The Valley Health System in Nevada seeks a registered nurse to lead discharge planning and provide utilization management to maximize reimbursement for patient visits. You will work closely with patients, families and the healthcare team to ensure safe, timely and individualized discharge planning.

Qualifications include nursing licensure in Nevada, a minimum of three years varied clinical experience and two years in Utilization Review or Case Management.

Qualifications

• Education: Graduate of an accredited school of nursing.
• Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred.
• Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social needs.

Responsibilities

• To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits.
• These goals can be achieved through proactive collaboration with the patient, family and healthcare team.

Skills

Computer skills

Utilization Review

Team collaboration

Education

Graduate of an accredited school of nursing

Tools

Word processing

Spreadsheets

Data collection/management software

Job description

The Valley Health System in Nevada seeks a registered nurse to lead discharge planning and provide utilization management to maximize reimbursement for patient visits. You will work closely with patients, families and the healthcare team to ensure safe, timely and individualized discharge planning.

Qualifications include nursing licensure in Nevada, a minimum of three years varied clinical experience and two years in Utilization Review or Case Management.