A company is looking for a Manager, Clinical Finance Case Management-RN.Key ResponsibilitiesOversee daily operations of Clinical Pre-Certification, Peer to Peer Clinical Appeals, and Denial AnalysisUtilize clinical knowledge to interpret medical necessity guidelines and determine appropriate levels of careDevelop and implement policies, procedures, and workflows related to clinical financial case managementRequired QualificationsBachelor's degree in nursing with a current licenseMinimum of 5 years of clinical care experienceExperience collaborating with physicians and their designeesExtensive knowledge of clinical operations and patient flowProficient in Microsoft Office products and various technology applications
Rn Case Manager - Centennial Hills Hospital (full Time)
Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case M...
Case Manager RN
A company is looking for a Case Manager, RN (Remote). ...
Case Manager Rn (per Diem Varied)
It will be located at the southwest corner of Raiders Parkway and St. A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Must have knowledge of social and physical factors that affect function...
Case Manager Rn (varied)
It will be located at the southwest corner of Raiders Parkway and St. A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Must have knowledge of social and physical factors that affect function...
RN Case Manager - Summerlin Hospital (per Diem)
ResponsibilitiesThe Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Ma...
Travel Nurse RN - Case Manager in Las Vegas, NV
The Nurse Case Manager serves as an advanced clinical resource to patients, families, staff and physicians in the delivery of care. The Nurse Case Manager assists in providing a system of health care delivery at Facility which utilizes a coordinated, collaborative, multi-disciplinary approach to ass...
Rn Case Manager -valley Hospital (full Time Days)
A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources...
RN Case Manager Full Time
Knowledge of government and non-government payor practices, regulations, standards and reimbursement. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Enhances the quality of patient managem...
RN Case Manager- Las Vegas, NV - Hybrid Remote
DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in. Registered Nurse (RN) Case Manager. Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more. Identify and address social determinan...
RN Case Manager
Knowledge of government and non-government payor practices, regulations, standards and reimbursement. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Enhances the quality of patient managem...