RN Manager of Case Management
Greater Las Vegas, Nevada

Qualifications:

• Registered Nurse required
• Bachelor Nursing Degree required
• Master’s Degree preferred
• Manager of Case Management experience in an Acute Hospital Setting

Responsibilities:

• Care Management principle related to eligibility, authorizations, admission assessment, concurrent/retro-eligible review, denials and appeals
• InterQual and basic understanding of Milliman Care guidelines
• Supervisory principles and practices
• Nursing process (assessment, planning, implementation, and coordination of patient care) Standards of care
• Disease process of illnesses or injuries in variety of specialty areas
• Patient care plan development
• Patient evaluation and assessment techniques
• Nurse Practice Act
• Third party reimbursement regulations and rules
• Department and hospital safety practices and procedures
• Patient rights
• Department and hospital emergency response policies and procedures

Additional Knowledge:

• Working with patients in a variety of ways

• Supervising the work of assigned staff
• Interpreting rules and regulations
• Interpreting and analyzing patient medical charts for Acute care criteria
• Communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds
• Establishing and maintaining effective working relationships

For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.

If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.

Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292

Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com
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