RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)

American Geriatrics Society; Las Vegas (NV); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Education & training

Competitive pay & PTO

Medical/Dental/Vision plans

401(k) with match

Career opportunities

Challenging work environment

Job summary

Valley Health System in Southern Nevada seeks an experienced Registered Nurse to lead discharge planning and utilization management to optimize patient outcomes and reimbursement. The role requires collaboration with patients, families, and the care team to ensure safe, timely discharges across units.

Ideal candidates will have a nursing degree, RN licensure in Nevada, and 3+ years of clinical experience with a preference for utilization management or case management exposure.

Qualifications

• Graduate of an accredited school of nursing.
• Experience includes minimum three years in varied clinical settings.
• Two years in Utilization Review/Management or Case Management preferred.
• Knowledge of social and physical factors affecting discharge, and community resources.

Responsibilities

• Discharge planning to achieve safe, individualized discharge and ensure timely utilization management.
• Collaborate with patient, family and healthcare team to maximize patient outcomes.

Education

Nursing degree from accredited school

Tools

MS Word

MS Excel

Data management software

Job description

Responsibilities

Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center, Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital.

Benefit Highlights

• Comprehensive education and training center
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Career opportunities within VHS and UHS Subsidies
• Challenging and rewarding work environment

Job Description

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.

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.

Technical Skills: Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs.

License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada.

Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.