Top 19 Utilization review nurse Jobs in Henderson, Nv

RN Care Manager - Las Vegas Market
ArchWell Health —Las Vegas, NV
- Full-time
- Nursing
- RN License
- Mid-level
2d
RN Case Manager - Hospital Utilization and Transitions of Care
Optum —Las Vegas, NV
- $35 - $63 an hour
- Full-time
- RN License
- Hospital
- Computer literacy
Quick Apply
Utilization Review Nurse
Dynamic Computing Services —Las Vegas, NV
- $40 - $63 an hour
- Weekends as needed
- Nursing
- RN License
- Office
- Health savings account
- Health insurance
Case Manager Per Diem
Kindred Hospital Las Vegas - Sahara —Las Vegas, NV
- $47.26 - $69.12 an hour
- Per diem
- Master of Social Work
- Nursing
- RN License
- Health savings account
- Health insurance
12d
Utilization Review Nurse
Access Healthcare Staffing & Recruitment —Las Vegas, NV
- $40 - $63 an hour
- Weekends as needed
- Nursing
- RN License
- Office
Quick Apply
Per Diem Utilization Review Nurse
University Medical Center of Southern Nevada —Las Vegas, NV
- $59.13 an hour
- Weekends as needed
- Nursing
- RN License
- Office
Utilization Specialist
Seven Hills Hospital —Henderson, NV
- Full-time
- CPR Certification
- Nursing
- RN License
RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
Valley Health System Consolidated Services —Las Vegas, NV
- $85,400 - $113,100 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Case Manager - Licensed RN
Canyon Vista Post Acute —Las Vegas, NV
- Full-time
- Nursing
- LVN
- RN License
Quick Apply
Case Manager RN LPN
Horizon Health and Rehabilitation Center —Las Vegas, NV
- $35 - $38 an hour
- Temporary
- LVN
- RN License
- Mid-level
- Loan repayment program
- Disability insurance
1d
LPN Supervisor (Day/NOC Shift)
Charleston Post Acute —Las Vegas, NV
- Full-time
- Nursing
- LVN
- RN License
Quick Apply
8d
RN Case Manager
VN&Associates —Las Vegas, NV
- $40 - $63 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health savings account
- Disability insurance
Quick Apply
Director of Nursing - Ambulatory Surgery Center
Luis Velazquez MD PLLC —North Las Vegas, NV
- $120,000 - $130,000 a year
- Full-time
- Nursing
- RN License
- Outpatient experience
Quick Apply
3d
Director of Nursing - Ambulatory Surgery Center
Velazquez Pain Relief Center —Las Vegas, NV
- $110,000 - $140,000 a year
- Full-time
- Nursing
- RN License
- Outpatient experience
- Health insurance
- Dental insurance
Quick Apply
Travel Case Management RN
Fastaff —United States
- Up to $2,826 a week
- Full-time
- Background check
- Nursing
- RN License
- Mileage reimbursement
- Health savings account
Quick Apply
12d

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Must be a licensed driver with an automobile that is insured and in accordance with the state/and or organization requirements and is in good working order.
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Registered Nurse Discharge Planner $2K Sign-On Bonus
ERP International, LLC —Nellis AFB, NV
\* Licensure:* Possess current unrestricted RN License from any state. \* Life Support Certification:* Possess current ARC or AHA BLS and Current Neonatal…
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Case Manager (RN) - Full-Time
OhioHealth Rehabilitation Hospital —Columbus, OH
Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.
$70,000 - $84,000 a year
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4d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…

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RN Care Manager - Las Vegas Market

ArchWell Health -
Las Vegas, NV

Apply Now

Job Details

Full-time
2 days ago

Qualifications

Collaborate with healthcare professionals
Care plan evaluation
Patient progress tracking
RN License
Multidisciplinary team collaboration for treatment planning
Patient progress monitoring
Care plan implementation
Associate's degree
Associate Degree in Nursing

Full Job Description

ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved access, and better outcomes. In our medical clinics, we provide comprehensive primary care for senior adults with traditional Medicare and Medicare Advantage plans, focused on delivering improved quality, better patient experience and lower total cost of care.

Job Summary:
The Nurse Care Manager is responsible for helping coordinate and evaluate the management of patients with acute and chronic conditions, across the care continuum, to achieve high quality care measured by positive patient outcomes. This position will work closely with members of the care team to follow the patient from our centers into acute and post-acute facilities, as well as their home environments. The Nurse Care Manager plays a pivotal role in developing the care plan alongside the care team and then executing to achieve goals/objectives, standards of performance, regulatory compliance, and quality patient care.

Duties/Responsibilities:

Establish a trusting relationship with patients, their families, and/or caregivers.
Collaborate with clinical staff and other care team members to achieve patient goals.
Reduce network costs by driving referrals to preferred groups and identifying excessive referral requests.
Identify high-risk/complex patients.
Assess physical, functional, social, psychosocial, environmental, learning, and financial needs and develop a comprehensive, individualized care plan based upon identified needs.
Perform case management following the nursing process and standards of practice established by the Case Management Society of America (CMSA).
Provide patient education, care coordination, and other interventions needed to help patients a achieve their health goals.
Utilize Motivational Interviewing to build patient engagement.
Evaluate progress toward patient’s goal achievement.
Communicate telephonically with hospital case managers, physical therapists (PT), social workers, patients, and families/caregivers to facilitate a safe discharge plan.
Manage and plan for transitions of care.
Conduct transitions of care assessment/screening, medication reconciliation, and care coordination following discharge to home.

Required Skills/Abilities:

Ability to plan, implement and evaluate patient specific care plans.
Experience with monitoring, assessing, recording, and adjusting plan accordingly.
Working knowledge of patient medical records.
Working knowledge of community-based organizations and social services support agencies/network.
Strong interpersonal communication skills with exceptional active listening abilities.
Highly empathetic, non-judgmental, and open-minded.
Experience in a collaborative team environment.
Self-starter, critical thinker, and owner.
Demonstrated ability to work independently in a remote setting.

Education and Experience:

Associate degree in Nursing required.
Bachelor’s Degree in Nursing (BSN) or RN with bachelor’s degree in a related clinical field preferred.
A valid, active, unrestricted Registered Nurse (RN) license in State of employment required.
Willingness to obtain an RN license in other states with an ArchWell Health center (compact and non-compact locations).
A minimum of 2 years’ clinical work experience required.
A minimum of 1 year of utilization review, home health, discharge planning experience highly desired.
A minimum of 1 year of case management experience in acute case management or ambulatory case management experience highly desired
Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) or willingness to obtain certification within a specified time.
ICD-10, CPT codes, HCPCS knowledge preferred.
Managed care experience including knowledge of HEDIS and CMS guidelines preferred.
Mission driven and motivated to join an organization that will transform the way we deliver accessible, clinically excellent care to seniors.
Proficient computer skills including Microsoft Office.
Fluency in Spanish or other languages spoken by people in the communities we serve (where necessary)
Embodies and serves as a role model of ArchWell Health’s Values:
Be compassionate
Strive for excellence
Earn trust
Show respect
Stay resilient
Always do the right thing

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Apply Now

Refine Your Search

utilization review nurse jobs in henderson, nv

RN Care Manager - Las Vegas Market

RN Case Manager - Hospital Utilization and Transitions of Care

Utilization Review Nurse

Case Manager Per Diem

Utilization Review Nurse

Per Diem Utilization Review Nurse

Utilization Specialist

RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)

Case Manager - Licensed RN

Case Manager RN LPN

LPN Supervisor (Day/NOC Shift)

RN Case Manager

Director of Nursing - Ambulatory Surgery Center

Director of Nursing - Ambulatory Surgery Center

Travel Case Management RN

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