RN Case Manager - Utilization Review (Full-Time)

About the Role

The position involves providing quality healthcare outcomes by establishing safe, individualized discharge plans and delivering proficient, timely utilization management services. The goal is to maximize reimbursement through proactive collaboration with patients, families, and healthcare teams.

Responsibilities

• Ensure safe discharge planning and effective utilization review.
• Collaborate with healthcare teams to meet patient needs.
• Support post-discharge clinical and social requirements using community resources.

Requirements

• Graduate of an accredited nursing program.
• At least three years of clinical experience, with two years in Utilization Review, Management, or Case Management preferred.
• Knowledge of social and physical factors influencing discharge and community resources.
• Current Nevada RN license.
• Proficiency in computer applications, including word processing and data management.
• Ability to provide age-appropriate care and demonstrate necessary knowledge and skills for patient care.