Career Center

Position Summary:
Develops, implements and maintains a system of outcome management. Ensures coordination of care across the continuum on a financial platform.

Knowledge of:
Care Management principle related to eligibility, authorizations, admission assessment, concurrent/retro-eligible review, denials and appeal; 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; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific patient care practices.

Skill in:
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; using computers and a variety of software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Physical Requirements and Working Conditions:
Mobility to work in a typical clinical setting, including stamina to remain standing and/or walking for extended periods of time, strength to examine and treat varied individuals, vision to use standard office equipment, read printed materials and a VDT screen, and hearing and speech to communicate effectively in-person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

• State of Nevada RN license
• Minimum three (3) years of experience in Case Management leadership role 
• Acute care setting
• The following are a plus: 
  • CCM or ACM

About University Medical Center of Southern Nevada

The UMC Difference As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. Trust Nevada’s Highest Level of Care UMC provides patients with access to a wide range of exclusive and specialized services, including Nevada's ONLY Level I Trauma Center, ONLY Designated Pediatric Trauma Center, ONLY Burn Care Center and ONLY Center for Transplantation. The UMC Trauma Center provides life-saving care to community members, visitors and residents of nearby states. Serving patients in a 10,000-square-mile area, the UMC Trauma Center cares for more than 12,000 patients each year. The UMC Lions Burn Care Center recently became one of only a handful of hospitals in the nation to be verified as a Burn Center by the American Burn Association and the Committee on Trauma of the American College of Surgeons. This achievement recognizes the UMC Lions Burn Care Center’s commitment to providing patients with the highest level of burn care. Cutting-Edge Technology From advanced r...obotic surgery to revolutionary wireless pacemakers, UMC remains committed to offering the latest breakthroughs in medical technology. UMC recently became the first hospital in Nevada to offer a procedure to implant the world’s smallest pacemaker, which is approximately the size of a large vitamin. UMC also offers an innovative Robotic Surgery Program, utilizing advanced tools to provide the least invasive, most precise options available. UMC’s da Vinci Xi Surgical System combines advanced robotic, computer and optical technologies to assist surgeons with a wide range of operations. The Future of Medicine Further establishing its position as a leading academic medical center, UMC formed a strategic partnership with the Kirk Kerkorian School of Medicine at UNLV, with the hospital serving as the anchor partner for the medical school to deliver the region’s finest academic medicine.

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Connections working at University Medical Center of Southern Nevada