RN Assistant Director of Case Management
Las Vegas, Nevada

The RN Assistant Director of Case Management develops, implements, and maintains a system of outcome management. The RN Assistant Director of Case Management ensures Coordination of Care across the continuum on a financial platform.

Qualifications:

• Registered Nurse required

• Basic Life Support (BLS) Certification required

• Bachelor's degree in nursing required

• Leadership Management of Case Management in Acute Hospital Setting required

• Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred

Responsibilities:

• Care Management principle related to eligibility, authorizations, admission assessment, concurrent/retro-eligible review, denials and appeals

• 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

• Department and hospital emergency response policies and procedures

• 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

• Communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds

• Establishing and maintaining effective working relationships

To apply for Case Management opportunities or to inquire further, interested individuals can directly contact Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.

Feel free to share these contact details with anyone who might be interested in Case Management and Utilization Management opportunities.

Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292 | Toll Free 800-940-2313 Ext 101
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