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 2 days 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
    3 days 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 At Home

    Las Vegas, NV
    2 days ago
  • Full-time Join Infinity Hospice Care, part of the LCHH family! Serving...  ...: The Registered Nurse Case Manager performs admissions and administers...  ...: Assess hospice patients utilizing the Nursing Assessment and...  ...Health Record, and review, assess, record or type data... 
    Full time
    Relief
    Work at office
    Flexible hours

    Infinity Hospice Care Las Vegas

    Las Vegas, NV
    14 hours ago
  • $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 time
    Work at office
    Shift work
    Weekend work

    Access Healthcare Staffing & Recruitment

    Las Vegas, NV
    20 days ago
  •  ...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 time
    Relocation
    Relocation package

    Global Force USA

    Las Vegas, NV
    23 days ago
  •  ...for the quality and resource management of all patients that are admitted...  ...admission and concurrent review of the medical record for the...  ...least one year experience in case management, discharge planning...  ...Employment Status Full Time Shift Days Equal... 
    Full time
    Work experience placement
    Local area
    Shift work

    North Vista Hospital

    North Las Vegas, NV
    1 day ago
  • $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 time
    Minimum wage
    Work experience placement
    Second job
    Local area
    Relocation package

    UnitedHealth Group

    Las Vegas, NV
    4 hours ago
  •  ...private sectors. Job Title: Nurse Case Manager Location: Las Vegas, NV Full Time Position Onsite Role Position Summary...  ...care delivery at client which utilizes a coordinated, collaborative, multi...  ...Discharge Planning, or Utilization Review. At the sole discretion of the... 
    Full time

    Cogent Infotech Corp

    Las Vegas, NV
    6 hours ago
  •  ...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 time
    Weekly pay
    Immediate start
    Shift work

    Infojini Healthcare

    Las Vegas, NV
    1 day ago
  •  ...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 time
    Weekly pay
    Daily paid
    Permanent employment
    Temporary work
    Immediate start
    Flexible hours
    Shift work

    TravelNurseSource

    Las Vegas, NV
    1 day 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 hours 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 practice... 
    Full time
    Relocation package

    She Recruits LLC

    Las Vegas, NV
    14 hours ago
  • Case Manager Career Opportunity Recognized For Your Abilities...  ...vision plans for both full-time and part-time...  ...department operations. Review/analyze case management...  ...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

    Las Vegas, NV
    14 hours ago
  • 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... 

    Endocrine

    Las Vegas, NV
    3 days ago
  •  ...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 time
    Remote work

    Oak Street Health

    Las Vegas, NV
    14 hours ago
  •  ...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

    Universal Health Services

    Las Vegas, NV
    1 day ago
  •  ...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 time
    Monday to Friday
    Flexible hours
    Weekend work

    Fira Health

    Las Vegas, NV
    14 hours ago
  •  ...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 time
    Work at office
    Day shift
    Weekday work

    Advanced Health Care of Summerlin

    Las Vegas, NV
    7 days ago
  • 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 job
    Monday to Friday

    Anacalifornia

    Las Vegas, NV
    2 days ago
  •  ...Fusion HCR is hiring!Direct Hire - Utilization Review Nurse, this is an onsite position, working...  ...Utilization Review Nurse (RN) to review patient admissions for medical...  ...guidelines Collaborate with physicians, case management, and care teams Support discharge... 

    Fusion HCR

    Las Vegas, NV
    1 day ago
  • $15k

     ...About the job Utilization Review Nurse Sign on bonus may apply up to $15,000 Position...  ...(1) year of which was in Utilization Management, Case Management, or Clinical Documentation...  ...remain seated for extended periods of time, vision to read printed materials and... 
    Work at office
    Relocation package
    Shift work
    Weekend work

    Global Force

    Las Vegas, NV
    3 days ago
  •  ...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

    STEVE DIMOPOULOS LLC

    Las Vegas, NV
    1 day ago
  •  ...Director Case Management Full-Time Days Rotating Weekends 7-10 Hour Shifts...  ...optimal clinical resource utilization. The Director has oversight...  ...Either Registered Nurse (RN) licensure, Licensed Clinical...  ...strong work ethics, able to review data and develop action plans... 
    Full time
    Shift work

    First Connect Health

    Las Vegas, NV
    2 days ago
  • $30 - $35 per hour

     ...insurance Health insurance Paid time off Vision insurance Plaintiff...  ...an opening for an experienced Case Manager to work in Pre-Litigation....  ...a template for the Attorney’s review Qualifications Case Managers must...  .... Compensation This is a full-time position, with excellent... 
    Full time
    Hourly pay

    Law Tyme Inc

    Las Vegas, NV
    3 days ago
  •  ...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 time
    Relocation package
    Shift work

    Career Land Center, LLC

    Las Vegas, NV
    1 day ago
  • $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 time
    Relocation package
    Shift work

    TEEMA Solutions Group

    Las Vegas, NV
    3 days ago
  • $48k - $72k

     ...Job Type Full-time Description Workers' Compensation Claims Specialist (Case Manager) Join GGRM Law Firm, Nevada's premier injury law firm in Las...  ...on a regular basis to ensure each claim is reviewed at least once per month Meeting with the... 
    Full time
    Work at office
    Local area
    Flexible hours

    GGRM Law Firm

    Las Vegas, NV
    1 day ago
  • $23.08 - $27.69 per hour

     ...Case Manager II Las Vegas, NV Full-Time Non-Exempt $23.08 - $27.69 Schedule : Mon-Fri 11:30am - 8:00pm OR Sun-Thurs/Tues-Sat 8:00am - 4:30pm...  ...service plans. Support reporting, audits, and file reviews in collaboration with the Program Coordinator and Director... 
    Full time
    Permanent employment
    Work experience placement
    Work at office
    Work from home

    US VETS Inc

    Las Vegas, NV
    7 hours ago
  • $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

    Law Tyme Inc

    Las Vegas, NV
    4 days ago
  • $51.27 - $76.93 per hour

     ...RN Case Manager Opportunity at Sunrise Hospital and Medical Center Hourly Wage Estimate: $51...  ...free counseling and referral services Time away from work programs for paid time off...  ...RN Case Manager opening. We promptly review all applications. Highly qualified candidates... 
    Hourly pay
    Temporary work
    Monday to Friday
    Flexible hours

    St. David's South Austin Medical Center

    Las Vegas, NV
    4 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!