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    Care Management Manager - Las Vegas, United States - Sigma

    Sigma
    Sigma Las Vegas, United States

    4 weeks ago

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    Description
    24-CMM - Care Management Manager - Las Vegas, NV - Permanent Full TimeSigma Inc is currently looking for a Care Management Manager to work in Las Vegas

    Position Summary:
    Develops, implements and maintains a system of outcome management. Ensures coordination of care across the continuum on a financial platform.


    Job Requirement:

    Education/Experience:
    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


    Licensing/Certification Requirements:
    License from State of Nevada to Practice as a Registered Nurse. Basic Life Support (BLS) Certification.

    PREFERENCES WILL BE GIVEN TO APPLICANTS WHO DOCUMENT THE FOLLOWING:
    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)

    Membership in:
    The Commission of Case Management Certification (CCMC)

    Academy of Certified Case Managers (ACCM) American Case Management Association (ACMA) Knowledge, Skills, Abilities, and Physical RequirementsKnowledge of:
    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


    Skill in:

    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.


    Physical Requirements and Working Conditions:

    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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