Case Manager

1 week ago


North Las Vegas Nevada, United States North Vista Hospital Full time
About North Vista Hospital

At North Vista Hospital, our dedicated team of healthcare professionals is committed to delivering high-quality patient care and promoting a culture of excellence. As a member of Prime Healthcare, a Top-15 hospital system in the United States, we are actively seeking new members to join our award-winning team.

Our hospital is an accredited 177-bed state-of-the-art facility located in North Las Vegas, Nevada. We offer comprehensive healthcare services, including mental health care, emergency care, heart care, advanced surgical procedures, diagnostic imaging, and treatment for a broad range of medical conditions.

Equipped with advanced medical technology and staffed by a team of highly skilled healthcare professionals, we are committed to providing exceptional care in a friendly and supportive hospital environment.

We have achieved numerous quality award distinctions, including the Patient Safety Excellence Award, Bariatric Surgery Excellence Award, and Heart Failure recognition. Our team is dedicated to delivering high-quality care and improving patient outcomes.

Responsibilities

As a Case Manager - Patient Advocate, you will be responsible for the quality and resource management of all patients admitted to our facility. Your duties will include:

  • Promoting cost containment and demonstrating leadership to integrate healthcare providers and achieve seamless delivery of care.
  • Conducting holistic and comprehensive admission and concurrent review of medical records to ensure medical necessity, intensity of service, and severity of illness.
  • Developing and implementing individualized care plans to meet the unique needs of each patient.
  • Collaborating with healthcare teams to ensure timely and effective discharge planning.
Qualifications

To be successful in this role, you will need:

  • Minimum 5 years of work experience post-graduation from an accredited school of nursing and a current state Registered Nurse license.
  • Grandfathered prior to April 1, 2015, with a minimum of 5 years post-graduate experience from an accredited school of Social Work for Licensed Clinical Social Worker. However, RN Case Manager is preferred.
  • Five years of acute care nursing experience preferred, with at least one year of experience in case management, discharge planning, or nursing management.
  • Current BCLS certificate, preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.
  • Experience and knowledge in basic to intermediate computer skills.


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