RN Case Manager

An RN Case Manager job in Las Vegas, NV is available courtesy of Adecco Medical & Science. You will responsible for Utilization Review for Optum Delegated Products using Milliman Care Guidelines to authorize appropriate level of care for our members in the acute setting. This is a contract position ONLY starting in August or September 2019 and will continue until February 2020. The hours are Monday-Friday from either 8:00am-5:00pm.

The RN Case Manager job responsibilities include:

Reviewing and approving appropriate discharge/transfer level of care for our members who are leaving the acute setting.
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 current status and discharge planning for patients in the facilities.

Qualifications & Skills:

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 job in Las Vegas, NV then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com.


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Reference number US_EN_2_102814_333456