- $86K - $138,985K
- Develops, implements and maintains a system of outcome management.
- Ensures coordination of care across the continuum on a financial platform.
- Graduation from an accredited school of nursing and five (5) years of clinical nursing experience, two (2) years of which were in a supervisory/managerial role.
- License from State of Nevada to Practice as a Registered Nurse. Basic Life Support (BLS) Certification.
- Bachelor s degree in Nursing.
- Minimum three (3) years of Case Management of recent experience in a leadership role.
- Recent documented experience in an acute care setting.
- One or more of the following A PLUS
- Certified Case Manager (CCM) or Accredited Case Manager (ACM).
- The Commission of Case Management Certification (CCMC).
- Academy of Certified Case Managers (ACCM).
- American Case Management Association (ACMA).
- Knowledge, Skills, Abilities, and Physical Requirements.
- Care Management principle related to eligibility, authorizations, admission assessment, concurrent/retro-eligible review, denials and appeal; 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; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific patient care practices.
- Working with patients in a variety of conditions; supervising the work of assigned staff; interpreting rules and regulations; interpreting and analyzing patient medical charts for acute care criteria; using computers and a variety of software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.
- Mobility to work in a typical clinical setting, including stamina to remain standing and/or walking for extended periods of time, strength to examine and treat varied individuals, vision to use standard office equipment, read printed materials and a VDT screen, and hearing and speech to communicate effectively in-person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.
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Care Management Manager - Las Vegas, United States - Dynamic Computing Services Corporation
1 week ago
Description
OPPORTUNITY:
We are looking for a Care Management Manager for a full time permanent in Las Vegas, NV.
**Successful candidates must be legally authorized to work in the US and able to go W2**
SALARY:
RESPONSIBILITIES:
REQUIREMENTS:
Education/Experience:
Licensing/Certification Requirements:
**PREFERENCES WILL BE GIVEN TO APPLICANTS WHO DOCUMENT THE FOLLOWING**
Membership in:
Knowledge of:
Skill in:
Physical Requirements and Working Conditions:
WHY DCS:
Join DCS and get connected with a leading IT consulting firm who is passionate about creating strong client and consultant partnerships. We've been connecting the best with the best for over two decades and want to do the same for you. Are you ready to join our team?
For more info, visit us at
DCS is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. All qualified applicants will be afforded equal employment opportunities without discrimination because of race, religion, color, national origin, sex (including gender identity and/or expression), sexual orientation, age, disability, predisposing genetic characteristic, marital status, military status, and/or domestic violence victim status.