RN Case Manager: Utilization & Discharge Planning

Universal Health Services, Inc.; Las Vegas (NV); On-site; USD 80,000 - 100,000; Full time

Job summary

Universal Health Services, Inc. is seeking a qualified RN to lead discharge planning and utilization management efforts within our Nevada facilities.

The role emphasizes safe, individualized discharge planning and proactive collaboration with patients, families, and the healthcare team to optimize patient outcomes and reimbursement. The ideal candidate has a RN license in Nevada and at least three years of clinical experience, including exposure to utilization review or case management.

Qualifications

• Graduate of an accredited school of nursing.
• Minimum three years experience in varied clinical settings.
• Two years experience in Utilization Review, Utilization Management or Case Management preferred.
• 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.
• Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs.

Responsibilities

• Establish a safe, individualized discharge plan and provide proficient timely utilization management services to maximize reimbursement for patient visits.
• Coordinate with the patient, family and healthcare team to achieve quality healthcare outcomes.
• Demonstrate knowledge and skills to provide care appropriate to the age of the patients served.

Skills

Utilization Review

Collaboration

Discharge planning

Patient care coordination

Education

Bachelor of Science in Nursing

Tools

Word processing

Spreadsheet

Data management software

Job description

Universal Health Services, Inc. is seeking a qualified RN to lead discharge planning and utilization management efforts within our Nevada facilities.

The role emphasizes safe, individualized discharge planning and proactive collaboration with patients, families, and the healthcare team to optimize patient outcomes and reimbursement. The ideal candidate has a RN license in Nevada and at least three years of clinical experience, including exposure to utilization review or case management.