- Veterans Affairs, Veterans Health Administration (Reno, NV)
- Summary The Nurse II Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within the ... level degree in Nursing may have opportunity to become registered as a nurse with a state...responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice… more
- CVS Health (Carson City, NV)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care...and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and… more
- CVS Health (Carson City, NV)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1...or Specialty Pharmacy.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Humana (Carson City, NV)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in the state of Virginia or obtain a ... community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care...Therapy utilization review + Previous experience in utilization management , case management , discharge… more
- Fresenius Medical Center (Las Vegas, NV)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Fresenius Medical Center (Las Vegas, NV)
- **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN, for a limited period of time, and ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- Fresenius Medical Center (Las Vegas, NV)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. + Assists with implementing… more
- Fresenius Medical Center (Reno, NV)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Sharecare (Carson City, NV)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- ICW Group (Las Vegas, NV)
- …Current unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management , rehabilitation nursing or a ... and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and… more
- United Therapeutics (Carson City, NV)
- …including ICU and critical care of PAH, cardiology or pulmonology patients + Registered Nurse (RN) - State Licensure and/or Compact State Licensure RN ... make a difference. The Regional Field Director, RNS Program Management serves as a director of all clinical field...- Registered Nurse - State Licensure and/or Compact… more
- HCA Healthcare (Henderson, NV)
- …10+ years overall case management experience required + Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation ... to HCA established policies, practices, efficiencies; and effectiveness of clinical Case Management , Utilization Management , and Social Work functions within… more
- Humana (Carson City, NV)
- …**Key Functions:** **Strategic Planning and Implementation:** + Develop and implement utilization management strategies that align with organizational goals. + ... care. **Cost Containment:** + Identify opportunities for cost savings through effective utilization management practices. + Monitor and analyze utilization … more
- HCA Healthcare (Las Vegas, NV)
- …Manager RN opening and continue to learn! **Job Summary and Qualifications** The Registered Nurse Case Manager will be responsible for promoting patient-centered ... will be making appropriate referrals related to medical necessity, utilization , quality, or risk management and coordinating...Cardiac Life Support (BLS) + Current licensure as a Registered Nurse in the state of Nevada… more
- Highmark Health (Carson City, NV)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN...is part of the compact **Preferred** + Certification in Utilization Management or a related field **SKILLS**… more
- Dignity Health (Las Vegas, NV)
- …and management of care continuum **Licensure:** + Current Registered Nurse (RN) license. CM certification preferred. **Overview** HelloHumankindness ... ensure the efficient and compliant departmental execution of the companies case management functions. These duties include, but are not limited to: staff performance… more
- HCA Healthcare (Las Vegas, NV)
- …in Nursing or Nursing Diploma required; BSN preferred + Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation. ... stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in...supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: +… more
- HCA Healthcare (Las Vegas, NV)
- …capital equipment requests + You will be responsible for the fiscal management of department; assures proper utilization of organization's financial resources ... equivalent combination of education and/or experience + Currently licensed as a registered professional nurse in the state in which he or she practices, in… more