Director of Case Management & Utilization Review
Las Vegas, NV 89109 US
Do you want to live in the top 10 least stressed cities in the Country where the sun shines over 300 days a year with the average temperature of 70 degree with close to the ocean and mountains in the heart of Silicone Valley? If you answered yes to any of these, you will love living, working and playing here.
Above all else, we are committed to the care and improvement of human life.
Overview of RN Director of Case Management
⦁ The Director of Case Management, directs the case management program, including the functions of case management, utilization management, resource management, discharge planning and care coordination for the facility.
⦁ The Director of Case Management is responsible for coordinating the systems necessary for safe and appropriate discharge as well as utilization management practices that meet corporate, division, facility and regulatory guidelines.
⦁ The Director of Case Management assesses and evaluates the care/services provided, staffing levels, competency and educational needs of the case management staff and effectively coordinates and controls resources.
⦁ Minimum: BA or BSN degree in nursing or other healthcare related field.
Master's degree preferred.
⦁ Preferred: National Certification in Case Management (ACM or CCM) - If not certified, will get certification within one year of employment.
⦁ Minimum 5 years nursing experience in an acute hospital.
⦁ Minimum 3 years' experience of progressive management levels working area of case management and utilization review, in an acute care hospital.
⦁ Excellent communication skills, a positive attitude with excellent customer service skills.
⦁ Advanced knowledge of levels of care criteria; strong leadership skills. Good financial management.
⦁ Strong knowledge of regulatory standards for federal payors, JCAHO, and other insurance companies.
We are actively interviewing! Juli Van Der Meulen is managing the search for this dynamic opportunity. Please click Apply and be sure to upload your resume as soon as possible, so that Juli can properly review your qualifications and contact you in a timely manner.