Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)

Universal Health Services

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.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or View phone number on click.appcast.io .
Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME) in Las Vegas, NV vacancy
  •  ...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... 
    Full time
    Local area

    Alan B. Miller Medical Center

    Las Vegas, NV
    1 day ago
  • $42 - $65 per hour

     ...Description Job Description Utilization Review Nurse Location: Las Vegas, NV Job Type: Full-Time Pay: $42–$65/hr + Sign-On...  ...Collaborate with physicians, case managers, and healthcare teams....  ...School of Nursing. ~ Current RN license in the applicable state... 
    Full time
    Relocation package

    Lancesoft INC

    Las Vegas, NV
    6 days ago
  • $2,250 per week

     ...AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Las Vegas, Nevada.Job Description &...  ...enjoy, including: Medical, dental and vision benefitsEarned time off and paid holidaysPaid continuing education time401(K)... 
    Suggested
    Local area
    Shift work
    Day shift

    AMN Healthcare Nursing

    Las Vegas, NV
    1 day ago
  • $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 time
    Hourly pay
    Minimum wage
    Work experience placement
    Local area
    Relocation package

    UnitedHealthcare

    Las Vegas, NV
    6 days ago
  • $40 - $63 per hour

     ...Description Job Description Nurse Case Manager (RN) Location: Las Vegas, NV Job Type: Full-Time Pay: $40–$63/hour + Bonus...  ...planning, and resource utilization while collaborating with multidisciplinary...  ...Planning, or Utilization Review . Strong care coordination... 
    Full time
    Relocation package

    Lancesoft INC

    Las Vegas, NV
    6 days ago
  • $63 per hour

     ...Description Job Description Title: Nurse Case Manager (RN) Location: Las Vegas Department: Case Management Job Type: Full-Time Facility Details Academic...  ...planning Care coordination Utilization review Insurance/resource coordination... 
    Full time
    Hourly pay
    Relocation package
    Monday to Friday
    Shift work
    Weekend work

    Lancesoft INC

    Las Vegas, NV
    a month ago
  • $40.72 - $63.12 per hour

     ...Description Job Description Job Title: Nurse Case Manager (RN) Location: Las Vegas, NV Job Type: Full-Time (Inpatient) Pay: $40.72 – $63.12 per hour...  ...families Support discharge planning and utilization review Ensure compliance with care standards and... 
    Full time
    Hourly pay

    Lancesoft INC

    Las Vegas, NV
    more than 2 months ago
  • $40.72 - $63.12 per hour

     ...Job Description Registered Nurse Case Manager (RN) – Acute Care Location: Las Vegas...  ...0.72 – $63.12 per hour + Benefits Full-Time | Permanent Sign-On Bonus: Up to...  ...and multidisciplinary teams Monitor utilization review and care management processes Ensure... 
    Full time
    Hourly pay
    Permanent employment
    Relocation package

    Lancesoft INC

    Las Vegas, NV
    a month ago
  •  ...Job Description Job Description – Utilization Review Nurse Position Summary The Utilization...  ...while collaborating with physicians, case managers, and interdisciplinary teams to optimize...  ..., unrestricted Registered Nurse (RN) license in the State of Nevada. Demonstrated... 
    Full time
    Casual work
    Work at office
    Shift work

    Lancesoft INC

    Las Vegas, NV
    6 days ago
  •  ...the LCHH Family! The RN Case Manager performs admissions...  ...Assess hospice patients utilizing the Nursing Assessment...  ...the patient's care. Timely submission of all...  ...setting and one (1) year full time hospice. Education...  ...Health Record, and review, assess, record or type... 
    Full time
    Relief
    Work at office
    Flexible hours

    Lifecare Home Health Family

    Las Vegas, NV
    5 days ago
  • $40.72 - $63.12 per hour

     ...Description Job Title: Nurse Case Manager Location: Las Vegas, NV Shift: Full-time | Day shift Salary: $40.72...  ...Support discharge planning and utilization review processes Serve as a clinical...  ...nursing program Active Nevada RN license BLS certification (... 
    Full time
    Shift work
    Day shift

    Lancesoft INC

    Las Vegas, NV
    more than 2 months ago
  •  ...outcomes by establishing safe discharge processes and effective utilization management services. The ideal candidate will have at least three years of clinical experience, preferably in Utilization Review and Case Management, along with the relevant nursing license. The... 

    Universal Hospital Services Inc.

    Las Vegas, NV
    3 days ago
  • $15k

     ...Job Description Job Description Nurse Case Manager (RN) Location: Las Vegas Position Type: Full-Time Department: Case Management Compensation...  ...care planning, discharge coordination, utilization review, and care management while serving as a clinical... 
    Full time
    Permanent employment
    Relocation package

    Lancesoft INC

    Las Vegas, NV
    a month ago
  • $40 - $63 per hour

    A healthcare services provider is seeking a full-time Utilization Review Nurse for a permanent onsite role in Las Vegas, NV. The successful candidate...  ...clinical nursing experience with a focus on Utilization Management. This role offers a pay rate of $40-$63 per hour... 
    Full time
    Hourly pay
    Permanent employment

    Dynamic Computing Services

    Las Vegas, NV
    3 days ago
  •  ...Vegas 2024 by the Las Vegas Review‑Journal, recognized for...  ...Role Description This is a full‑time, on‑site Nurse Case Manager role located in Las Vegas,...  ...discharge, ensuring appropriate utilization of services and timely...  ...Registered Nurse (RN) license in the state of Nevada... 
    Full time

    University Medical Center of Southern Nevada

    Las Vegas, NV
    1 day ago
  • $74.88k - $87.36k

     ...We are currently seeking a Full-Time Case Manager (LPN/LVN) to join our outstanding...  ...$74,880 - $87,360 annually RN applicants are welcome and...  ...care coordination and utilization of services to ensure the highest...  ...further information, please review the Know Your Rights notice... 
    Full time
    Hourly pay
    Local area

    Stjosephtrc

    Las Vegas, NV
    1 day ago
  • $43 - $63 per hour

     ...Description Job Description The Utilization Review Nurse plays a key role in evaluating...  ...documentation, and collaborating with case management teams to support quality standards and...  ...Documentation Improvement Active Nevada RN license required Minimum 3 years of... 
    Relocation package

    Lancesoft INC

    Las Vegas, NV
    a month ago
  •  ...Nurse Case Manager The Nurse Case Manager assists in providing a...  ...care delivery at client which utilizes a coordinated, collaborative...  ...Location: Las Vegas, NV Full Time Position Onsite Role Job...  ...Discharge Planning, or Utilization Review. At the sole discretion of... 
    Full time

    Cogent Info

    Las Vegas, NV
    4 days ago
  •  ...Job Description Job Description Nurse Case Managers EagleOne is a family-owned Nurse Case...  ...case management. This is a full-time remote position, Monday – Friday (no holidays...  ...Skills and Competencies desired: · Active RN licensure in state of employment ·... 
    Full time
    Work at office
    Remote work
    Monday to Friday

    EagleOne - Case Management Solutions

    Las Vegas, NV
    15 days ago
  • $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... 
    Full time
    Relocation package

    She Recruits LLC

    Las Vegas, NV
    3 days ago
  •  ...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 paid
    Local area

    Wellington Regional Medical Center

    Las Vegas, NV
    6 days ago
  • We are currently seeking qualified candidates for a full time Registered Nurse (RN) Case Manager position in the Las Vegas area. Job Description: This is an out-patient position, that requires an independent and experienced RN. The RN-Case Manager is an integral part of... 
    Full time
    Monday to Friday
    Weekend work

    HARBOR HEALTHCARE SYSTEM

    Las Vegas, NV
    6 hours ago
  •  ...COMAGINE HEALTH in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN licensure in Alabama, with 3+ years of clinical experience and at least 1 year in a supervisory role. Strong... 
    Remote work

    COMAGINE HEALTH

    Las Vegas, NV
    3 days ago
  • $40 - $63 per hour

     ...Description Job Description Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour Position Summary...  ...nursing experience ~ At least 1 year in Utilization Management, Case Management, or CDI ~ Minimum 3 years of... 
    Full time
    Work at office
    Shift work
    Weekend work

    Access Healthcare Staffing & Recruitment

    Las Vegas, NV
    15 days ago
  •  ...Case Manager Career Opportunity Recognized for your abilities...  ...vision plans for both full-time and part-time...  ...department operations. Review/analyze case...  ...record. Participate in utilization review process: data collection...  ...(for example, RN, SW, OT, PT, ST, and Rehabilitation... 
    Full time
    Contract work
    Part time
    Flexible hours

    Encompass Health Rehabilitation Hospital of Katy

    Las Vegas, NV
    9 days ago
  • $28.94 - $51.63 per hour

     ...Optum NV is seeking a RN Case Management to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the...  ...this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as... 
    Full time
    Hourly pay
    Minimum wage
    Work experience placement
    Local area
    Work from home

    Optum

    Las Vegas, NV
    10 days ago
  •  ...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 paid
    Local area

    Alan B. Miller Medical Center

    Las Vegas, NV
    14 days ago
  • $15k

     ...Job Description Job Description The Utilization Review Nurse plays a critical role in assessing patient admissions to ensure appropriate...  ...analysis of medical charts and collaboration with case management teams to support compliance and quality standards within acute... 
    Relocation package

    Lancesoft INC

    Las Vegas, NV
    a month ago
  •  ...Intensive Case Manager - New Beginnings (Adult Housing Programs...  ..., one individual at a time. Benefits of working...  ...- Thursday Status: Full-Time - Non-Exempt...  ...the client's needs Review the client's treatment...  ...calculate client's rent/ utility costs Required Qualifications... 
    Full time
    Permanent employment
    Work at office
    Local area
    Flexible hours

    Help Of Southern Nevada

    Las Vegas, NV
    4 days ago
  • Forthright Case Management Llc is looking for a bilingual RN Case Manager in Las Vegas, NV. This full-time role involves advocating for injured workers, coordinating with healthcare providers, and managing treatment plans. Candidates must have a current Nevada RN license... 
    Full time
    Flexible hours

    Forthright Case Management Llc

    Las Vegas, NV
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME). Be the first to apply!