Your search returned 5 jobs

Part of Sunrise Health, Sunrise Hospital & Medical Center is Nevada´s largest acute-care medical complex.

With 701 beds and an array of advanced medical technologies, we offer healthcare professionals the chance to touch the lives of thousands of patients each year while expanding their skills and knowledge. We currently have an opportunity for a full-time Registered Nurse Case Manager who will coordinate resources and services to all patients and promote quality and continuity of care as well as, appropriate utilization of resources. The Case Manager will work in conjunction with nursing, physicians, and ancillary hospital departments and services to assess the acute and post-hospital needs of all patients, infants through geriatric and to coordinate the delivery of services which will allow the patients to function at an optimum level upon discharge.Qualified candidates will possess:-Nevada Registered Nurse License-Graduate Degree from an accredited school of professional nursing (Diploma, Associates or Bachelors)-Case Management experience including InterQual and Intensity of Service or Severity of Illness -A minimum of three years clinical experience is preferred At Sunrise Health were guided by a simple yet powerful motto, Another Sunrise. Another Miracle. And while technology is at the forefront of everything we do, we haven´t forgotten that it´s our people who make miracles happen and help our patients heal. As part of our team, we provide you with a benefits package designed to meet your individual needs. Whether you´re new to the area or a longtime resident, there´s always something new to discover in Las Vegas. Please visit our website at www.sunrisehealth.jobs/sunrise to learn more about our opportunities and all that Las Vegas has to offer.

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer. DEPARTMENT: Continuity of Care/Multi-Site (Modesto/Stockton) SCHEDULE: Full-Time Regular, 36-40hrs/wk, Night shift. Shift and locations may vary depending on need, 7:00pm to 7:00am. This is a multi-site position. Will work in Modesto and the Stockton facility. EDUCATION/ LICENSE/CERTIFICATION: BSN or BA in health care related field or Diploma/Associate Degree Nursing (ADN) or comparable years of experience required. Masters Degree preferred. Graduate of accredited school of nursing, BLS Certification, and current California RN licensure required. SKILLS TESTING: N/A QUALIFICATIONS: Experience (usually 2+ years) in direct patient care delivery and management. Demonstrated experience in utilization review, case management, and discharge planning preferred (usually 2+ years). Knowledge of the Nurse Practice Act, The Joint Commission, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA and all other applicable federal/state/local laws and regulations. Demonstrated strong communication and customer service skills, problem-solving, critical thinking, and clinical judgement abilities. Fundamental word processing and computer navigation skills, and the ability to interpret and use analytic data in day to day operations. Knowledge of healthcare benefits associated with various business lines (Medicare/KPSA, Commercial/KFH, Medi-Cal, Federal, etc.). POSITION SUMMARY: Performs utilization management activities, discharge planning, and care coordination across the continuum of care in collaboration with the physician and other members of the health care team. DUTIES: Utilization Management Performs daily preadmission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge. Escalates utilization and system problems which have not been resolved at the local level to the next level (RM/UM Director, CCL, DHO, etc.), immediately. Monitors the progression of the plan of care and facilitates discussions with the multi-disciplinary teams. Educates other healthcare team members on utilization and cost containment initiatives. Collaborates with and provides information to patients, families, physicians, and staff regarding the provisions of care. Incorporates and counsels on the correct and consistent application, interpretation, and utilization of member health care benefits (including transition of care). Discharge Planning Ensures continuity of care through communication in rounds and written documentation, level of care recommendations, transfer coordination, discharge planning and obtaining authorizations/approvals as needed for outside services for the patient. Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing , social services, and other healthcare providers and agencies. Performance Improvement Monitors care processes to provide cost-effective implementation and evaluation of utilization management and patient care activities, initiatives, and protocols. Participates in the development and implementation of guidelines, preprinted physician orders, carepaths, etc. for patient care. Identifies and assists in the implementation of opportunities for cost-savings and improvements in the quality of care across the continuum. Develops, collects, trends, and analyzes data relevant to the utilization of healthcare resources including avoidable/variance days, readmissions, one-day stays, DRGs, LOS, etc. Participates in the development, implementation, communication, maintenance and monitoring of local UM Workplan initiatives. Administrative and Regulatory Shares accountability with the UM Manager for planning, developing, and managing the department budget. Participates in interviewing, makes hiring recommendations, orients and provides on-going supervision of support staff. Provides input into the performance evaluations of team members. May plan and control work assignments and special projects of team members. Assists in developing, implementing and maintaining utilization management policies and procedures. Conducts UM, care coordination, and discharge planning activities according to all applicable regulatory requirements (see qualifications). Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.

Case Manager RN Opportunity in Las Vegas!

Spectrum Healthcare Resources has an opportunity for a civilian RN Case Manager at Nellis AFB in Las Vegas, NV.Details:* Monday - Friday, 7:30-4:30 p.m. * Up to 3 Weeks Paid Time Off* 10 Paid Holidays * Excellent Pay Benefits *Supportive Team EnvironmentRequirements:* Current, unrestricted RN license in state of Nevada* 2 Yrs Case Management Experience* 6 Yrs Broad Based Nursing Experience* BLSCompany Overview:Established in 1988, Spectrum Healthcare Resources (SHR) has earned a solid reputation in the health care industry. SHR is JCAHO certified and dedicates itself exclusively to supplying a broad spectrum of medical professionals, LPNs, CNAs, Registered Nurses, Nurse Practitioners, Physician Assistants and Physicians, for Military Treatment Facilities (MTF) located in the United States. These permanent civilian contracted medical professionals experience a unique medical environment, working among the very best medical professionals, and caring for our military family.

Part of Sunrise Health, MountainView Hospital is a full-service modern 250-bed facility in the heart of northwest Las Vegas. Here we offer a family-like culture and stress a team-based approach, aimed at continuing to achieve high levels of patient satisfaction. We are known for our low nurse-to-patient ratio and specialty adult and pediatric intensive care units, and were honored with a Service Excellence Award for women’s health and maternity care. We currently have an opportunity for a full-time Registered Nurse Case Manager to join our team. The Case Manager will work in conjunction with nurses, physicians, ancillary hospital departments, patients and families to identify and coordinate post-hospital needs of all patients, infant through geriatrics, in order to promote quality, continuity of care and safety for the patient. The Case Manager will carry out physician orders regarding transfers, home health care, durable medical equipment and the specific discharge needs of the patient, placing patients in the most appropriate setting upon discharge. In addition, he/she will monitor utilization of resources, track any avoidable days identified, respond to insurance requests for clinical reviews utilizing Interqual criteria and follow review protocols for the department.Qualified candidates must have:-Graduate degree from an accrediting nursing program-Associates or Bachelors Degree in Nursing preferred-Candidates with a Bachelors or Masters Degree in Social Work will be considered -Nevada Registered Nurse License -Basic Cardiac Life Support Certification or obtained within three months of hire-Case Management Certification preferred-A minimum of one year case management experience in an acute care facility or two years minimum experience in a managed care environment or rehab facility-Strong written and verbal communications skills-Strong computer skills and knowledge of Interqual criteriaAt Sunrise Health were guided by a simple yet powerful motto, Another Sunrise. Another Miracle.. And while technology is at the forefront of everything we do, we haven’t forgotten that its our people who make miracles happen and help our patients heal. As part of our team, we provide you with a benefits package designed to meet your individual needs.Whether you’re new to the area or a longtime resident, there’s always something new to discover in Las Vegas.

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures.

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer. DEPARTMENT: Continuity of Care/Multi-Site (Modesto/Stockton) SCHEDULE: Full-Time Regular, 36-40hrs/wk, Night shift. Shift and locations may vary depending on need, 7:00pm to 7:00am. This is a multi-site position. Will work in Modesto and Stockon facilities. EDUCATION/ LICENSE/CERTIFICATION: BSN highly preferred or BA in health care related field. Diploma/Associate Degree Nursing (ADN) with comparable years of experience required. Masters Degree preferred. Graduate of accredited school of nursing, BLS Certification, and current California RN licensure required. SKILLS TESTING: N/A QUALIFICATIONS: Experience (usually 2+ years) in direct patient care delivery and management. Demonstrated experience in utilization review, case management, and discharge planning preferred (usually 2+ years). Knowledge of the Nurse Practice Act, The Joint Commission, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA and all other applicable federal/state/local laws and regulations. Demonstrated strong communication and customer service skills, problem-solving, critical thinking, and clinical judgement abilities. Fundamental word processing and computer navigation skills, and the ability to interpret and use analytic data in day to day operations. Knowledge of healthcare benefits associated with various business lines (Medicare/KPSA, Commercial/KFH, Medi-Cal, Federal, etc.). POSITION SUMMARY: Performs utilization management activities, discharge planning, and care coordination across the continuum of care in collaboration with the physician and other members of the health care team. DUTIES: Utilization Management Performs daily preadmission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge. Escalates utilization and system problems which have not been resolved at the local level to the next level (RM/UM Director, CCL, DHO, etc.), immediately. Monitors the progression of the plan of care and facilitates discussions with the multi-disciplinary teams. Educates other healthcare team members on utilization and cost containment initiatives. Collaborates with and provides information to patients, families, physicians, and staff regarding the provisions of care. Incorporates and counsels on the correct and consistent application, interpretation, and utilization of member health care benefits (including transition of care). Discharge Planning Ensures continuity of care through communication in rounds and written documentation, level of care recommendations, transfer coordination, discharge planning and obtaining authorizations/approvals as needed for outside services for the patient. Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing , social services, and other healthcare providers and agencies. Performance Improvement Monitors care processes to provide cost-effective implementation and evaluation of utilization management and patient care activities, initiatives, and protocols. Participates in the development and implementation of guidelines, preprinted physician orders, carepaths, etc. for patient care. Identifies and assists in the implementation of opportunities for cost-savings and improvements in the quality of care across the continuum. Develops, collects, trends, and analyzes data relevant to the utilization of healthcare resources including avoidable/variance days, readmissions, one-day stays, DRGs, LOS, etc. Participates in the development, implementation, communication, maintenance and monitoring of local UM Workplan initiatives. Administrative and Regulatory Shares accountability with the UM Manager for planning, developing, and managing the department budget. Participates in interviewing, makes hiring recommendations, orients and provides on-going supervision of support staff. Provides input into the performance evaluations of team members. May plan and control work assignments and special projects of team members. Assists in developing, implementing and maintaining utilization management policies and procedures. Conducts UM, care coordination, and discharge planning activities according to all applicable regulatory requirements (see qualifications). Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.