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Manager - Case Management

Las Vegas, NV, United States

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Description

SHIFT: No Weekends

SCHEDULE: Full-time

Sunrise Hospital and Medical Center

Serving the community for nearly 60 years, Sunrise Hospital & Medical Center provides Las Vegas and the Southwest region with high quality, advanced healthcare services.  Sunrise Hospital is the largest acute care facility in Nevada.  Sharing the same campus as Sunrise Children’s Hospital, Nevada’s largest most comprehensive children’s hospital.


This is a Full Time, No Weekends, Case Management Leadership position.


Job Summary:

The Manager of Case Management will assist in the direction of the Case Management program, including the functions of case management, utilizationmanagement, resource management, discharge planning, and care coordination for the facility. The Manager of Case Management is responsible for assisting in the coordination of the systems necessary for safe and appropriate discharges, as well as utilization management practices that meet corporate, division, facility, and regulatory guidelines. The Manager of Case Management will assess and evaluate the care/services provided, staffing levels, competency, and educational needs of the case management staff and effectively coordinates and controls resources.  The Manager of Case Management provides consultation and education to facility leadership, clinical, and financial personnel, the Board of Trustees, and medical staff members related to case management practices.  The position assists the Director of Case Management who oversees the annual review of the Case Management/Utilization Management Plan of the hospital.  The position will assist in the identification and implementation of processes that support and promote efficient patient throughput across the Healthcare Continuum resulting in optimal clinical outcomes, appropriate utilization of resources, appropriate patient status, level of care, and appropriate and accurate reimbursement.


About HCA

HCA is the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes 166 hospitals and 114 outpatient centers in 20 states and England.  At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies.

 

HCA Far West

As part of a strong network of hospitals throughout California and Nevada, HCA Far West is committed to supporting its healthcare professionals and ensuring their growth. Our exclusive and specialty medical services in nine hospitals and six surgical centers throughout two states, provides a full spectrum of primary, acute, tertiary and chronic care for our patients. Our specialized care areas focus on advancing the science of medicine while providing high quality, life-saving technology and patient-focused care.

Qualifications

Education:                   

Minimum, ADN, BA or BSN degree in nursing or other healthcare related field.  Master’s degree preferred.

 

Preferred:  National Certification in Case Management (ACM or CCM)

 

Experience:      

Minimum five (5) years experience in acute care nursing, two (2) years experience in management in the acute setting, in the area of case management, throughput, and/ or utilization management 


Skills:  

Excellent communication skills, positive attitude with excellent customer service skills.  Advanced knowledge of levels of care criteria; strong leadership skills.  Good financial management. Strong knowledge of regulatory standards for federal payers, Joint Commission, and other insurance companies.


Licensure:                    

Maintain professional licensure as appropriate to discipline.

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Facility: Sunrise Hospital
Job ID: 01541-17431
Category: Directors and Managers
Contract: Full-time
Shift: No Weekends
Job Class: Regular

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