RN Case Manager: Discharge & Utilization Specialist

The Valley Health System; Nevada (IA); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Education center

Paid time off

Medical/Dental/Vision plans

401(k) with match

Career opportunities

Job summary

The Valley Health System in Nevada is seeking a Registered Nurse to support discharge planning and provide proficient utilization management services to maximize reimbursement and patient outcomes. This role requires collaboration with patients, families, and the healthcare team to ensure safe transitions.

Qualified candidates hold a nursing license in Nevada, have at least three years of clinical experience with two years in utilization review or case management, and are proficient with

Qualifications

• Graduate of an accredited school of nursing.
• 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 needs.
• Has a current license to practice as a Registered Nurse in the State of Nevada.

Responsibilities

• To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure maximum reimbursement for all patient visits.
• Collaborate with patient, family and healthcare team to achieve goals for safe discharge and optimal care.

Skills

Computer skills

Utilization management

Data collection

Education

Nursing degree

Tools

Word processing

Spreadsheet

Job description

The Valley Health System in Nevada is seeking a Registered Nurse to support discharge planning and provide proficient utilization management services to maximize reimbursement and patient outcomes. This role requires collaboration with patients, families, and the healthcare team to ensure safe transitions.

Qualified candidates hold a nursing license in Nevada, have at least three years of clinical experience with two years in utilization review or case management, and are proficient with