RN Case Manager PRN

Sunrise Hospital; Las Vegas (NV); On-site; USD 87,000 - 117,000; Full time

Job summary

Sunrise Hospital in Las Vegas is seeking a Registered Nurse Case Manager to coordinate the plan of care, manage length of stay, and develop safe discharge plans in collaboration with the multidisciplinary team.

You will promote patient-centered care, conduct admission reviews, and coordinate ongoing care with hospital staff, physicians, and community resources to support optimal outcomes.

Qualifications

• Graduate of an accredited School of Nursing program.
• Current RN license in Nevada.
• Current Basic Cardiac Life Support (BLS) certification.
• Two years in hospital case management with three years nursing experience preferred.
• CMS Rules and Regulations knowledge essential for admission/concurrent reviews.
• Ability to document accurately as directed by the Case Management Plan.

Responsibilities

• Perform admission reviews to determine appropriateness and medical necessity.
• Monitor admissions and ensure timely concurrent reviews.
• Coordinate referrals related to medical necessity, utilization, quality or risk management.
• Plan, coordinate and facilitate discharge needs including Home Health, DME and community resources.

Skills

BLS

CMS Rules & Regulations

Documentation

Discharge planning

DRGs & GMLOS

Clinical data interpretation

Nursing leadership experience

Education

Graduate of accredited School of Nursing

Job description

Hourly Wage Estimate: $73.97 - $73.97 / hour

Learn More About The benefits Offered For This Job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

As a RN Case Manager PRN, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

Job Summary And Qualifications

The Registered Nurse Case Manager will be responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Our team is amazing, we consider ourselves a family who work hard to support each other and we are looking for someone who feels patient care is as meaningful as we do. If that is you, come be a part of what makes us great.

• You will be performing admission review to determine appropriateness and medical necessity based on approved criteria and standards and providing payors with admission and concurrent reviews as requested
• You will be maintaining system for monitoring all admissions and assure timely concurrent reviews
• You will be making appropriate referrals related to medical necessity, utilization, quality, or risk management and coordinating on-going care and utilization with hospital staff, physicians, ancillary services, and patient
• You will plan, coordinate, and facilitate all discharge needs for patients including Home Health, DME, placement, community resources, and hospice care

Qualifications

• Graduate of an accredited School of Nursing program
• Current licensure as a Registered Nurse in the state of Nevada
• Current Basic Cardiac Life Support (BLS)
• Two years in hospital case management with three years nursing experience preferred
• Will consider a minimum of five years of clinical nursing experience with two years critical care or nursing leadership experience in lieu of case management experience
• Must have knowledge of CMS Rules and Regulations (including Patient Status and Level of Care)
• Can maintain accurate and specific documentation directed by the Case Management Plan
• Interprets clinical data compiled by hospital medical records for the purpose of admission/concurrent review for Medicare and self-pay patients
• Identifies potential utilization and quality management issues, reporting all issues to the appropriate department or personnel
• Knowledge of DRGs and GMLOS

Benefits

Sunrise Hospital and Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

Sunrise Hospital & Medical Center provides Las Vegas and the Southwest region with high-quality, advanced healthcare services. We have been serving our community for nearly 60 years. Sunrise Hospital has been a Consumer Choice Award recipient for 15 consecutive years. We are the largest acute care facility in Nevada and the state's only fresh post-op Pediatric CICU. Our facility offers an advanced comprehensive stroke center which received the Gold Plus Performance Achievement Award from the GWTG.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

If this opportunity is your next step in your career path, we encourage you. We review all applications.

We are interviewing.

We are an equal opportunity employer.

We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.