Case Manager-RN


Adecco Medical and Science is seeking an RN Case Manager in Las Vegas NV. Primary responsibilities are utilization review for Products using Milliman Care Guidelines to authorize appropriate level of care for our members in the acute setting. Reviewing and approving appropriate discharge/transfer level of care for our members who are leaving the acute setting.
Additional Responsibilities:


Discharge planning for our members- setting up Home Health Care, securing a Skilled Nursing Facility bed, submitting appropriate outpatient Case Management referrals, etc.
Working with the Long-Term Acute Care and Acute Inpatient Rehabilitation Facilities to manage length of stay, ensure appropriate care for the members, as well as coordinating with specialties such as our palliative care program. This may include driving to local facilities for Interdisciplinary Team Meetings at nearby facilities.
Weekly rounds with the Medical Director to discuss status and discharge planning for patients in the facilities.


Must have qualifications/experience:

Must be a Registered Nurse in Nevada
Must have experience in Managed Care organizations and/or with the Medicare eligible population.
Must have high level of proficiency with Microsoft Office applications (Word, Excel, etc.) and be proficient navigating through multiple computer programs concurrently.
Must have a valid driver's license and reliable transportation as some travel may be required to visit patient's in the facility.
Must have a strong acute care clinical background.


If you are interested in this RN Case Manager position in Las Vegas NV, then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com. If you have questions about the position, please contact Hari Dhurjaty at 585-613-3037 or hari.dhurjaty@adeccona.com.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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Reference number US_EN_2_101084_333474