RN Case Manager/Utilization Review, Part Time

Responsibilities

Northern Nevada Health System is a regional multi-facility system that has excelled at offering quality care to residents of the greater Truckee Meadows. We have many locations across the region and in our rural communities. Northern Nevada Medical Center, a 124-bed acute care hospital in Sparks, is our flagship provider. A second hospital, Sierra Medical Center, is a 170-bed full service acute care hospital in south Reno. It is the first full service hospital built in the region in over a century.

What we at Northern Nevada Sierra Medical Center value:
• Compassion: We treat everyone with kindness and warmth because we genuinely care about every patient, employee and physician like they are family.
• Empathy: We put ourselves in our patient's shoes and deliver clinical care with a personalized touch.
• Teamwork: We foster a caring and friendly work environment to bring the best possible outcomes in our patient's lives.
• Quality: We strive to provide excellence in clinical care.
• Ethics: We conduct our business with the highest ethical and moral standards.
• Respect: We promise to honor the dignity, individuality and rights of everyone.
• Service Excellence: We provide personalized and professional service that exceeds the expectations of those we serve.
• Innovation: We continually invest in technology and process improvements to develop new and better ways of delivering clinical care.

Learn more at northernnevadahealth.com

This RN Utilization Review/Case Manager opportunity is par time at 24 hours per week, offers full benefits and a convienient day shift schedule. We are looking for a dynamic RN Utilization Review/Case Manager. This position is responsible for the implementation of the case management process, which is assessment, planning, collaboration and intervention, monitoring and evaluation. Through this process, the Case Manager facilitates the patient's care from admission to discharge. The Case Manager reviews care for level of care criteria, quality and efficacy of care and treatment, core measure interventions, and other criteria as requested. Collaborates with all members of the healthcare team to facilitate discharge planning including providing patient and family education specific to disease management and follow up care. Coordinates level of care referrals and planning with the social worker.

Job Duties/Responsibilities:

• Is knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage.
• Promotes collaboration with other departments, payers, staff and physicians to assure optimal patient care and utilization.
• Verifies prior authorizations done by Admitting and obtains continued stay authorizations for all managed care patients. Provides verbal, on-line or faxed concurrent reviews as required by payer.
• Demonstrates working knowledge of benefits and authorization for services, for various payers including Medicare, Medicaid, County, HMO's and other commercial payers.

If you would like to learn more about the position before applying, please contact Leah Webb, Supervisor, Recruitment @ leah.webb@uhsinc.com or by phone at 775.352.5309.

About Universal Health Services:

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

• Graduate from an accredited school of nursing, associate's degree required, baccalaureate degree preferred.
• Current Nevada Registered Nurse License.
• Five (5) or more years of previous experience in all aspects of nursing and two (2) or more years of UR or CM experience preferred.
• Current BLS certification.

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.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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