RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
The Valley Health System
Responsibilities The 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. #J-18808-Ljbffr The Valley Health System
$35 - $63 per hour
...Case Manager RN Opportunity Optum NV is seeking a Case Manager RN to... ...operational responsibilities include utilization management, discharge... ...that may challenge timely quality care. Primary Responsibilities... ...35 to $63 per hour based on full-time employment. We comply...Full timeHourly payMinimum wageWork experience placementLocal areaRelocation package- ...The Registered Nurse Case Manager performs admissions and... ...Assess hospice patients utilizing the Nursing Assessment... ...the patient's care. Timely submission of all required... ...and one (1) year full time hospice. Education... ...Electronic Health Record, and review, assess, record or...Full timeReliefWork at officeFlexible hours
$35 - $38 per hour
...Temporary Case Manager Seeking a Temporary Case Manager to... ...Effectively manage benefit, utilization of services and resources Review to determine... ...Management Experience RN or LPN/LVN license in good... ...receive a competitive wage; full time team members are also offered...Full timeTemporary workLocal areaMonday to FridayFlexible hours$40 - $63 per hour
...Job Description Job Description Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 – $63/hour Position Summary Reviews... ...nursing experience ~ At least 1 year in Utilization Management, Case Management, or CDI ~ Minimum 3 years of...Full timeWork at officeShift workWeekend work- ...Description We are hiring!! Position: Utilization Review Nurse Location: Las Vegas, NV **... ...to relocate to Las Vegas. ** Full time job with excellent benefits ** Salary... ...(1) year of which was in Utilization Management, Case Management, or Clinical Documentation...Full timeRelocationRelocation package
- ...Campus Status: Non-Exempt; Full Time MISSION STATEMENT The Salvation... ...Provide direct case management services to homeless and at-... ...uniformly for service referral. Utilize a community-wide data system... ...further information, please review the Know Your Rights notice...Full timeWork at office
$72.8k - $130k
...Clinic Case Manager $10,000 Sign-on Bonus for External Candidates... ...duties within the scope of a RN license of the applicable state... ...exacerbation, ER and hospitalization utilization to meet department/... ...to $130,000 annually based on full-time employment. We comply with all...Full timeMinimum wageWork experience placementSecond jobLocal areaRelocation package- ...Registered Nurse (RN) | Case Manager Location: Las Vegas, NV Agency: Infojini Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Start Date: ASAP About the Position Nurse Case Manager...Full timeWeekly payImmediate startShift work
- ...Registered Nurse (RN) | Case Manager Location: Las Vegas, NV Agency: Infojini Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Start Date: ASAP About the Position TravelNurseSource is...Full timeWeekly payDaily paidPermanent employmentTemporary workImmediate startFlexible hoursShift work
- ...Job Description Case Manager Career Opportunity Recognized... ...vision plans for both full-time and part-time... ...department operations. Review/analyze case... .... Participate in utilization review process: data collection... ...(for example, RN, SW, OT, PT, ST, and Rehabilitation...Full timeContract workPart timeFlexible hours
- ...individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved... ...settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have...Daily paidLocal area
- ...Competitive Compensation & Generous Paid Time Off * Excellent Medical, Dental,... ...and providing proficient timely utilization management services to ensure that maximum... ...years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant...Daily paidLocal area
$105k - $160k
...Location: Las Vegas, NV Job Type: Full-Time Days No Weekends... ...Director Bonus | Sign-On Bonus: Case by Case | Relocation Assistance... ...role is responsible for 24/7 management of the department, including clinical... ...role (preferred) ~ Current RN license in the state of practice...Full timeRelocation package$20 per hour
...Posted : August 10, 2026 Full-Time On-site Rate : $20 USD per... ...Passage Team is hiring for a Case Manager (Bilingual, Spanish preferred... ...encouragement, positive guidance, and utilization of resources towards the... ...further information, please review the Know Your Rights notice...Full timeHourly payFlexible hours- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services. You will apply UM criteria with clinical judgment, coordinate with care teams, and ensure medically appropriate...Full timeRemote work
$37 - $38 per hour
...Description Are you an experienced RN Case Managerlooking for a new... ...and patient interviews. Utilizes motivational interviewing techniques... ...patient engagement and self management breaking down barriers... ...documentation and participates in case review activities. Participates in...Private practiceMonday to Friday- Valley Health System in Southern Nevada is seeking a Registered Nurse with solid utilization management experience to lead safe, individualized discharge planning and timely utilization review across multiple facilities. The ideal candidate will work collaboratively with...
- ...Center, part of Universal Health Services, Inc. (UHS), is seeking a full-time Utilization Review Coordinator to monitor service utilization and optimize reimbursement. The role liaises between managed care organizations and clinical staff, conducts reviews for certification...Full time
- ...RN Case Manager Job Description (Full-Time) Role: Registered Nurse (RN) - Case Manager Compensation: $58-$62 per point / 30 points per week Mileage in addition to productivity comp Schedule: Full-time Monday-Friday + some weekends (as needed)...Full timeMonday to FridayFlexible hoursWeekend work
$72.8k - $130k
...NV is seeking an RN Supervisor Home... ...evaluation and management including, but not... ...visits, routine case conferences, and... ...clinical record review and... ...Agency standards. Utilizes management reports... ...service at all times both internally... ...annually based on full-time employment....Full timeMinimum wageWork experience placementWork at officeLocal areaNight shiftWeekend workAfternoon shift- ...Description Job Description Description: The RN/LPN Discharge Nurse plays a vital role... ...resident care. Schedule: Full-Time, Weekdays, Day Shift, 8 Hour Shifts... ...healthcare setting required. Some previous case management experience preferred. Knowledge of community...Full timeWork at officeDay shiftWeekday work
- ...Fusion HCR Hiring Direct Hire – Utilization Review NurseThis is an onsite position working with... ...experienced Utilization Review Nurse (RN) to review patient admissions for medical... ...with physicians, case management, and care teamsSupport discharge planning...
- UnitedHealthcare is seeking a Preservice Review RN to review provider requests for medical necessity and benefit level. The role supports... .... You will evaluate eligibility, determine benefits, and route cases for review, maintaining high accuracy in case notes and...Remote jobMonday to Friday
- ...Join Dimopoulos Law Firm as a Full-Time Personal Injury Case Manager and experience the thrill of working in a fast-paced, customer-focused environment... ...Mission Dimopoulos Law Firm has been awarded the Las Vegas Review Journal's Top Workplaces recognition for the fourth year...Full time
$60k - $75k
...insurance Health insurance Paid time off Vision insurance Bilingual Personal Injury Case Manager Qualified candidates will have at... ...Pre‑Litigation case. This is a full‑time position with a salary range... ...a template for the Attorney’s review Assist with lien reductions when...Full time- ...Nevada is seeking a Director of Case Management to lead departmental... ...op Pediatric CICU. This is a full-time, on-site leadership role with... ...through effective resource utilization and interdepartmental coordination... ...demonstrated ability to review data and develop action plans...Full timeRelocation packageShift work
$103.92k - $155.9k
...We are seeking a Manager of Case Management with Sunrise... ...recognition program ~ Time Away From Work Program... ...employee-only coverage to full-time and part-time... ...functions of case management, utilization management, resource... ...oversees the annual review of the Case Management...Full timeTemporary workPart timeFlexible hours$135k - $202.56k
...A Director of Case Management opportunity is available... ...Director holds full accountability for... ...information technology utilization, onboarding, and... ...to independently review data and develop... ...Registered Nurse (RN) licensure, Licensed... ...Schedule. Full‑time, days with rotating...Full timeRelocation packageShift work$135k - $180k
...Director of Case Management Location: Las Vegas, NV... ...0 Employment Type: Full-Time, Leadership She Recruits... ..., resource utilization, and regulatory compliance... ...discharge planning • Review departmental data, identify... ...preferred • Must hold RN licensure, LCSW, or...Full timeRelocationRelocation package$60k - $75k
...insurance Health insurance Paid time off Vision insurance Bilingual Personal Injury Case Manager ($60-75K) Plaintiff, Personal... ...a template for the Attorney’s review · Assist with lien reductions... ...skills. This is a full-time position, with excellent benefits...Full time
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