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Job Description
**Requisition number:**
**Job category:** Nursing
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.**
**We are currently offering a $10,000 sign on bonus for external candidates!**
This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions. Medical Management includes observation level patients, acute long-term level patients and the development of plans of care to for transitions of care at discharge. This positions is responsible for the daily operations of medical management case managers in the assigned facilities. Collection and oversight of documentation and safety of RN decisions at discharge. Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.
Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2) Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director
**Primary Responsibilities:**
+ Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requests
+ Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions
+ Identify barriers so that staff can maintain high productivity and high levels of morale
+ Ensure coordination between other internal departments as well as external companies as appropriate
+ Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments
+ Independently manage work flows including orientation, standard work and report concerns to the director
+ Collaborates on decisions to promote teamwork
+ Collaboration with Sr. Medical Director and V.P.
+ Promote LEAN work cycles for performance enhancement
+ Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission
+ Other duties as assigned in medical management
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School diploma and/or equivalent
+ Active unrestricted Nevada RN license
+ Obtain CCM certification within 2+ years of employment
+ Valid Nevada driver's license and maintain personal auto insurance coverage
+ 1+ years of related professional experience in managed care environment
+ 1+ years related supervisory/management experience
+ Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas
+ Solid technology skills and excellent interpersonal skills
+ Proven ability to negotiate and arbitrate without difficulty
+ Proven ability to supervise multiple levels of people
+ Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care
**Preferred Qualification:**
+ Bachelor's degree
**Working Conditions:**
+ Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management
+ Driving up to one hour per day.
**Competencies for High Performers:**
+ Participation in departmental projects assigned by Director or Manager.
+ Certification in Case Management (CCM) or equivalent Professional Certification (ACM).
+ Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members. Number of IDT completed within the week with Medical Director.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
**Job category:** Nursing
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.**
**We are currently offering a $10,000 sign on bonus for external candidates!**
This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions. Medical Management includes observation level patients, acute long-term level patients and the development of plans of care to for transitions of care at discharge. This positions is responsible for the daily operations of medical management case managers in the assigned facilities. Collection and oversight of documentation and safety of RN decisions at discharge. Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.
Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2) Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director
**Primary Responsibilities:**
+ Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requests
+ Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions
+ Identify barriers so that staff can maintain high productivity and high levels of morale
+ Ensure coordination between other internal departments as well as external companies as appropriate
+ Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments
+ Independently manage work flows including orientation, standard work and report concerns to the director
+ Collaborates on decisions to promote teamwork
+ Collaboration with Sr. Medical Director and V.P.
+ Promote LEAN work cycles for performance enhancement
+ Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission
+ Other duties as assigned in medical management
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School diploma and/or equivalent
+ Active unrestricted Nevada RN license
+ Obtain CCM certification within 2+ years of employment
+ Valid Nevada driver's license and maintain personal auto insurance coverage
+ 1+ years of related professional experience in managed care environment
+ 1+ years related supervisory/management experience
+ Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas
+ Solid technology skills and excellent interpersonal skills
+ Proven ability to negotiate and arbitrate without difficulty
+ Proven ability to supervise multiple levels of people
+ Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care
**Preferred Qualification:**
+ Bachelor's degree
**Working Conditions:**
+ Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management
+ Driving up to one hour per day.
**Competencies for High Performers:**
+ Participation in departmental projects assigned by Director or Manager.
+ Certification in Case Management (CCM) or equivalent Professional Certification (ACM).
+ Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members. Number of IDT completed within the week with Medical Director.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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0
Job Description
This position is incentive eligible.
Salary Estimate: $ - $ / year
Learn more about the benefits offered ( ) for this job.
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
***$10,000 Sign-On Bonus offered for Non-HCA Employees***
**Introduction**
Do you want to join an organization that invests in you as a Director Case Management? At Sunrise Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Sunrise Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team.
**Job Summary and Qualifications**
The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of daily hospital case management operations and is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the department. This position requires an executive presence and candidates must possess excellent communication and presentation skills, proven motivational capabilities, and a demonstrated accomplishment record of delivering results and attaining goals. This position is a subject matter expert in case management that requires solid leadership, trust building, team building, as well as change management skills to ensure success of the department and case management initiatives. This position requires an individual who is a self-starter and has the ability to manage multiple priorities, work with minimal supervision on projects and activities, and demonstrate tact and diplomacy in situations of conflict and controversy. This individual must be able to adapt quickly to change and coordinate efforts across multiple stakeholders.
Responsibilities:
+ Directs and evaluates departmental operations, including the case management model, staffing (skill mix and FTEs), use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives.
+ Allocates resources to effectively staff department and meet productivity and quality goals.
+ Responsible for oversight of CM core functions and practice.
+ Ensures the adherence to care coordination and discharge planning processes, ensuring timeliness, quality, and proper documentation.
+ Works with the Facility CFO and Division CM Leader to achieve established goals and expectations.
+ Assesses and improves the department's performance by evaluating operational processes, monitoring performance through analyzing data, and implementing sustainable performance improvement activities.
+ Ensuring compliance with policies and SOP.
+ Establish working relationships with key stakeholders to include CMO, CNO, ancillary service leaders, Ethics & Compliance, and Legal.
+ Performs other duties as assigned.
+ Practices and adheres to the "Code of Conduct" and "Mission and Value Statement."
What qualifications you will need:
+ Bachelor's degree, required
+ Master's degree in Nursing, Health Administration, or Business Administration, preferred
+ Either Registered Nurse (RN) licensure, Licensed Clinical Social Worker (LCSW) or Licensed Master Social Worker (LMSW), required
+ 3+ years' experience in overall acute care Hospital Case Management, preferred
+ 2+ years' experience in case management leadership, preferred
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Case Management opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Salary Estimate: $ - $ / year
Learn more about the benefits offered ( ) for this job.
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
***$10,000 Sign-On Bonus offered for Non-HCA Employees***
**Introduction**
Do you want to join an organization that invests in you as a Director Case Management? At Sunrise Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Sunrise Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team.
**Job Summary and Qualifications**
The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of daily hospital case management operations and is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the department. This position requires an executive presence and candidates must possess excellent communication and presentation skills, proven motivational capabilities, and a demonstrated accomplishment record of delivering results and attaining goals. This position is a subject matter expert in case management that requires solid leadership, trust building, team building, as well as change management skills to ensure success of the department and case management initiatives. This position requires an individual who is a self-starter and has the ability to manage multiple priorities, work with minimal supervision on projects and activities, and demonstrate tact and diplomacy in situations of conflict and controversy. This individual must be able to adapt quickly to change and coordinate efforts across multiple stakeholders.
Responsibilities:
+ Directs and evaluates departmental operations, including the case management model, staffing (skill mix and FTEs), use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives.
+ Allocates resources to effectively staff department and meet productivity and quality goals.
+ Responsible for oversight of CM core functions and practice.
+ Ensures the adherence to care coordination and discharge planning processes, ensuring timeliness, quality, and proper documentation.
+ Works with the Facility CFO and Division CM Leader to achieve established goals and expectations.
+ Assesses and improves the department's performance by evaluating operational processes, monitoring performance through analyzing data, and implementing sustainable performance improvement activities.
+ Ensuring compliance with policies and SOP.
+ Establish working relationships with key stakeholders to include CMO, CNO, ancillary service leaders, Ethics & Compliance, and Legal.
+ Performs other duties as assigned.
+ Practices and adheres to the "Code of Conduct" and "Mission and Value Statement."
What qualifications you will need:
+ Bachelor's degree, required
+ Master's degree in Nursing, Health Administration, or Business Administration, preferred
+ Either Registered Nurse (RN) licensure, Licensed Clinical Social Worker (LCSW) or Licensed Master Social Worker (LMSW), required
+ 3+ years' experience in overall acute care Hospital Case Management, preferred
+ 2+ years' experience in case management leadership, preferred
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Case Management opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Is this job a match or a miss?
Apply Now
1
Job Description
A Director of Case Management opportunity is available at a large acute care hospital in Las Vegas, NV — the largest acute care facility in Nevada — that also houses the state's only fresh post‑op Pediatric Cardiac Intensive Care Unit and an advanced comprehensive stroke center recognized with the Gold Plus Performance Achievement Award from the Get With The Guidelines program.
The role.Reporting to executive leadership and working closely with the CFO and Division Case Management Leader, the Director holds full accountability for all operational aspects of the hospital's case management department — including the care coordination model, staffing mix, FTE allocation, information technology utilization, onboarding, and staff competencies. The Director ensures rigorous adherence to care coordination and discharge planning processes, with emphasis on timeliness, documentation quality, and regulatory compliance. A core responsibility is the use of operational data to identify performance gaps and implement sustainable improvement initiatives across interdisciplinary teams. The Director also cultivates and maintains strategic relationships with key internal stakeholders — including the CMO, CNO, ancillary service leaders, Ethics & Compliance, and Legal — as well as external post‑acute community partners. This role demands an executive presence, strong change management capabilities, and the ability to independently review data and develop action plans in a complex, high‑volume environment.
What we're looking for.- Bachelor's degree, required
- Master's degree in Nursing, Health Administration, or Business Administration, preferred
- Either Registered Nurse (RN) licensure, Licensed Clinical Social Worker (LCSW) or Licensed Master Social Worker (LMSW), required
- 3+ years' experience in overall acute care Hospital Case Management, required
- 2+ years' experience in case management leadership, requiredExtensive case management leadership experience with a demonstrated ability to review data and develop action plans independently, required
- Strong strategic relationships with physicians and the post‑acute community, required
Full‑time, days with rotating weekends; 7–10 hour shifts.
Compensation.$135,004 - $202,555 per year plus Sign‑on bonus available.
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2
Job Description
A large acute care hospital in Las Vegas, Nevada is seeking a Director of Case Management to lead departmental operations. The facility is the largest acute care hospital in Nevada, serving the community for nearly 60 years and holding a Consumer Choice Award for 15 consecutive years. The hospital operates an advanced comprehensive stroke center that received the Gold Plus Performance Achievement Award from Get With The Guidelines, and is home to the state's only fresh post‑op Pediatric CICU. This is a full‑time, on‑site leadership role with a daytime schedule, rotating weekends, and 7 to 10 hour shifts.
Reporting to facility leadership and collaborating closely with the CFO and Division Case Management Leader, this director leads all departmental operations for case management, including care model design, staffing and skill mix, onboarding, and staff competencies. The director ensures rigorous adherence to care coordination and discharge planning processes, with particular emphasis on timeliness, quality, and documentation integrity. A central responsibility involves assessing and continuously improving departmental performance by analyzing operational data and implementing sustainable improvement initiatives. The director also cultivates strategic relationships with key stakeholders across the organization, including the CMO, CNO, ancillary service leaders, and Ethics, Compliance, and Legal teams.
Key Responsibilities- Lead all departmental operations for case management across the facility
- Oversee care model design, staffing and skill mix, onboarding, and staff competency development
- Ensure rigorous adherence to care coordination and discharge planning processes
- Maintain emphasis on timeliness, quality, and documentation integrity in all case management functions
- Assess departmental performance through operational data analysis and implement sustainable improvement initiatives
- Collaborate closely with the CFO and Division Case Management Leader on strategic and operational priorities
- Build and maintain strategic relationships with the CMO, CNO, ancillary service leaders, and Ethics, Compliance, and Legal teams
- Drive continuous improvement across all areas of case management operations
- Support organizational goals through effective resource utilization and interdepartmental coordination
- Bachelor's degree required
- Master's degree in Nursing, Health Administration, or Business Administration preferred
- Current Registered Nurse licensure, Licensed Clinical Social Worker, or Licensed Master Social Worker credential required
- Minimum of three years of experience in overall acute care hospital case management required
- Minimum of two years of experience in case management leadership requiredExtensive case management leadership background with demonstrated ability to review data and develop action plans independently required
- Must be a self‑motivated, high‑performing professional with a strong work ethic and established strategic relationships with physicians and the post‑acute community
- Full‑time, days, rotating weekends
- 7 to 10 hour shifts
- $10,000 sign‑on bonus
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3
Job Description
Cleveland Clinic Nevada specializes in collaborative care, providing the community with ongoing care, clinical research and access to no-cost partner resources and education services. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career at one of the most respected healthcare organizations in the world.
As a Case Management Social Worker, you will be responsible for coordinating the care and services of select patients. This includes conducting comprehensive psychosocial assessments, providing supportive counseling and collaborating with community resources to address patient needs. You will intervene with individuals experiencing complex psychosocial and discharge planning challenges, deliver crisis intervention for patients and families and support safe, effective transitions of care for high-risk patients facing barriers to access. When you join our team, you will be part of a supportive caregiver family that will be united in shared values and a purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.
**A caregiver in this role works Monday through Friday from 8:00 a.m. - 5:00 p.m.**
A caregiver who excels in this role will:
+ Coordinate the care and services of select patients.
+ Intervene with patients who have complex psychosocial and discharge planning needs.
+ Conduct detailed psychosocial assessments and coordinate with community resources and supportive counseling.
+ Offer crisis interventions to patients and families with psychosocial needs and facilitate the transition of care for high-risk patients facing barriers to care.
+ Manage all aspects of discharge planning for assigned patients in order to ensure a timely discharge and provide appropriate connection with post-discharge care providers.
+ Work with families exhibiting complex family dynamics.
+ Communicate with interdisciplinary team regarding the discharge planning status of all patients that are referred.
+ Educate patients, families and physicians regarding post-acute options and address freedom of choice and financial concerns.
+ Conduct initial and ongoing psychosocial assessment and interventions and make treatment recommendations to engage patients and families in adherence to the treatment plan by reducing or eliminating the social, psychological, financial, behavioral and regulatory barriers to successful medical outcomes.
+ Serve as a resource person to provide counseling and intervention related to treatment decisions and end-of-life issues.
+ Advocate for patients and families by providing intervention in cases involving child abuse and neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
+ Advocate for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system and community.
+ Meet core social work competencies and adhere to regulations.
+ Remain current with regulations which impact the care of patients and regulatory compliance.
+ Promote individual, professional growth and development and meet mandatory and continuing education requirements.
+ Serve as a preceptor, mentor, and resource less experienced caregivers and represent the department on committees.
Minimum qualifications for the ideal future caregiver include:
+ Master's degree in social work (MSW) or Master of Science in Social Administration (MSSA)
+ Current state licensure as a Social Worker
+ Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross
Preferred qualifications for the ideal future caregiver include:
+ Certification as a Case Manager within one year of eligibility from an approved professional organization
+ Three years of experience in a healthcare system that includes exposure to and experience in pre- and post-acute care
+ Care Management/Social Work experience
+ Knowledge of community resources
+ Detail oriented with ability to work independently within the structure of Cleveland Clinic
+ Ability to grow, nurture and sustain professional relationships with clinical staff
+ Ability to discern when a patient or CG is in emotional distress
**Physical Requirements:**
+ Ability to perform work in a stationary position for extended periods.
+ Ability to communicate and exchange accurate information
+ Ability to work with physical records, such as retrieving and filing. Ability to operate a computer and other office equipment.
+ Ability to travel throughout the hospital system.
+ Requires normal or corrected hearing and vision to normal range.
+ In some locations ability to lift up to 10 pounds
**Personal Protective Equipment:**
+ Follows Standard Precautions using personal protective equipment as required for procedures.
**Pay Range**
Minimum Annual Salary: $57,510.00
Maximum Annual Salary: $87,697.50
The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
As a Case Management Social Worker, you will be responsible for coordinating the care and services of select patients. This includes conducting comprehensive psychosocial assessments, providing supportive counseling and collaborating with community resources to address patient needs. You will intervene with individuals experiencing complex psychosocial and discharge planning challenges, deliver crisis intervention for patients and families and support safe, effective transitions of care for high-risk patients facing barriers to access. When you join our team, you will be part of a supportive caregiver family that will be united in shared values and a purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.
**A caregiver in this role works Monday through Friday from 8:00 a.m. - 5:00 p.m.**
A caregiver who excels in this role will:
+ Coordinate the care and services of select patients.
+ Intervene with patients who have complex psychosocial and discharge planning needs.
+ Conduct detailed psychosocial assessments and coordinate with community resources and supportive counseling.
+ Offer crisis interventions to patients and families with psychosocial needs and facilitate the transition of care for high-risk patients facing barriers to care.
+ Manage all aspects of discharge planning for assigned patients in order to ensure a timely discharge and provide appropriate connection with post-discharge care providers.
+ Work with families exhibiting complex family dynamics.
+ Communicate with interdisciplinary team regarding the discharge planning status of all patients that are referred.
+ Educate patients, families and physicians regarding post-acute options and address freedom of choice and financial concerns.
+ Conduct initial and ongoing psychosocial assessment and interventions and make treatment recommendations to engage patients and families in adherence to the treatment plan by reducing or eliminating the social, psychological, financial, behavioral and regulatory barriers to successful medical outcomes.
+ Serve as a resource person to provide counseling and intervention related to treatment decisions and end-of-life issues.
+ Advocate for patients and families by providing intervention in cases involving child abuse and neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
+ Advocate for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system and community.
+ Meet core social work competencies and adhere to regulations.
+ Remain current with regulations which impact the care of patients and regulatory compliance.
+ Promote individual, professional growth and development and meet mandatory and continuing education requirements.
+ Serve as a preceptor, mentor, and resource less experienced caregivers and represent the department on committees.
Minimum qualifications for the ideal future caregiver include:
+ Master's degree in social work (MSW) or Master of Science in Social Administration (MSSA)
+ Current state licensure as a Social Worker
+ Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross
Preferred qualifications for the ideal future caregiver include:
+ Certification as a Case Manager within one year of eligibility from an approved professional organization
+ Three years of experience in a healthcare system that includes exposure to and experience in pre- and post-acute care
+ Care Management/Social Work experience
+ Knowledge of community resources
+ Detail oriented with ability to work independently within the structure of Cleveland Clinic
+ Ability to grow, nurture and sustain professional relationships with clinical staff
+ Ability to discern when a patient or CG is in emotional distress
**Physical Requirements:**
+ Ability to perform work in a stationary position for extended periods.
+ Ability to communicate and exchange accurate information
+ Ability to work with physical records, such as retrieving and filing. Ability to operate a computer and other office equipment.
+ Ability to travel throughout the hospital system.
+ Requires normal or corrected hearing and vision to normal range.
+ In some locations ability to lift up to 10 pounds
**Personal Protective Equipment:**
+ Follows Standard Precautions using personal protective equipment as required for procedures.
**Pay Range**
Minimum Annual Salary: $57,510.00
Maximum Annual Salary: $87,697.50
The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
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4
RN Director of Case Management
89105 Las Vegas
PAM Health Specialty Hospital of Las Vegas
Posted 6 days ago
Job Viewed
Job Description
A prominent healthcare provider in Las Vegas is seeking a Director of Case Management to oversee case management operations and ensure optimal patient care. This role includes coordinating hospital-wide case management programs, supervising staff, and maintaining regulatory compliance. The ideal candidate will have an active RN license, with a preference for BSN/MSN degrees and certification in Case Management. Join a team dedicated to delivering exceptional patient care and enjoy a comprehensive benefits package.
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5
Senior RN Case Manager, Complex Case - Las Vegas, NV
89102 Las Vegas
UnitedHealth Group
Posted today
Job Viewed
Job Description
**Requisition number:**
**Job category:** Nursing
**$10,000 Sign On Bonus for External Candidates**
**Optum NV is seeking a Senior RN Case Manager - Complex Case to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.**
**As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together.**
The Senior Case Manager will identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members.
**Primary Responsibilities:**
+ Applies motivational interviewing in identifying impact on member engagement and setting goals
+ Member education, medication reconciliation and benefit management
+ Ensures follow through with the Care Navigation Team; timely appointments and referrals to programs, health plan and community
+ Facilitate patient/family and provider communications as indicated and advocate for patient/family with healthcare team as needed
+ Ensures coordinated services delivered and available programs are accessed
+ Communicate with stakeholders, appropriate health care related information to ensure timely coordination care and services for members currently receiving inpatient care
+ Utilizes approved clinical criteria to asses and determine appropriate level of care for members currently receiving inpatient care
+ Identified point of contact for managing transitions of care
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current, unrestricted NV RN license
+ 3+ years of direct patient care nursing with a focus on discharge planning or case management
+ Competent with MS Office and other practice management systems or possess the ability to continue to learn new things
+ Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
+ Proven ability of time management skills
+ Liable transportation with valid driver's license and car insurance
**Preferred Qualifications:**
+ CCM certification
+ BSN
+ Solid clinical knowledge and capacity for continued learning
+ Proficient in critical thinking skills of RN Case manager
+ Proven ability to organize and prioritize tasks for self and patients
+ Proven solid verbal and written communication skills
+ Proven ability to perform case management activities
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
**Job category:** Nursing
**$10,000 Sign On Bonus for External Candidates**
**Optum NV is seeking a Senior RN Case Manager - Complex Case to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.**
**As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together.**
The Senior Case Manager will identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members.
**Primary Responsibilities:**
+ Applies motivational interviewing in identifying impact on member engagement and setting goals
+ Member education, medication reconciliation and benefit management
+ Ensures follow through with the Care Navigation Team; timely appointments and referrals to programs, health plan and community
+ Facilitate patient/family and provider communications as indicated and advocate for patient/family with healthcare team as needed
+ Ensures coordinated services delivered and available programs are accessed
+ Communicate with stakeholders, appropriate health care related information to ensure timely coordination care and services for members currently receiving inpatient care
+ Utilizes approved clinical criteria to asses and determine appropriate level of care for members currently receiving inpatient care
+ Identified point of contact for managing transitions of care
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current, unrestricted NV RN license
+ 3+ years of direct patient care nursing with a focus on discharge planning or case management
+ Competent with MS Office and other practice management systems or possess the ability to continue to learn new things
+ Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
+ Proven ability of time management skills
+ Liable transportation with valid driver's license and car insurance
**Preferred Qualifications:**
+ CCM certification
+ BSN
+ Solid clinical knowledge and capacity for continued learning
+ Proficient in critical thinking skills of RN Case manager
+ Proven ability to organize and prioritize tasks for self and patients
+ Proven solid verbal and written communication skills
+ Proven ability to perform case management activities
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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6
Director of Case Management & Care Coordination
89105 Las Vegas
Marvelconsultants
Posted 6 days ago
Job Viewed
Job Description
A leading healthcare organization in Las Vegas is seeking a Case Management Director to oversee operations in a 790-bed trauma facility. This high-impact role involves leading Case Management, Social Work, and Chaplaincy services, ensuring patient-centered care and compliance. The ideal candidate will possess a Bachelor's degree and significant experience in case management leadership. The position offers a competitive salary, incentives, relocation assistance, and requires a strong strategic leader ready to impact patient outcomes and operational efficiency.
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7
Director of Case Management — Lead Care Coordination
89105 Las Vegas
Career Land Center, LLC
Posted 6 days ago
Job Viewed
Job Description
Career Land Center, LLC is seeking a Director of Case Management at a large acute care hospital in Las Vegas, Nevada. This full-time, on-site leadership position focuses on overseeing departmental operations and ensuring adherence to care coordination and discharge processes.
The ideal candidate will have a Bachelor’s degree, with a Master’s preferred, and substantial experience in acute care case management. A $10,000 sign-on bonus is included.
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8
Director of Case Management | Las Vegas LTACH
89105 Las Vegas
PAM Health Specialty Hospital of Las Vegas
Posted 6 days ago
Job Viewed
Job Description
Director of Case Management | Las Vegas LTACH
Are you an experienced Director of Case Management (RN) seeking a rewarding career that aligns with your lifestyle? Look no further than PAM Health, where we are proud to offer competitive rates and an extensive benefits package designed to suit your needs.
What can PAM Health offer you?- Patient-Centric Focus: Join a hospital dedicated to delivering exceptional patient care and achieving the highest levels of patient satisfaction.
- Career advancement: Unlock opportunities for professional growth through our Education Advancement Program.
- Competitive compensation: Explore our rates and take advantage of a comprehensive benefits package.
- Medical Benefits: EPO/HDHP/HSA options; including prescription coverage, RX ‘n go, and Teladoc.
- Comprehensive dental and vision.
- Employee Assistance Program, including counseling, legal, and financial services.
- Flexible spending (FSA) and health savings (HAS) accounts.
- Life and Disability insurance benefits.
- Education/In-Service Opportunities including continuing education and tuition services.
- Supplemental benefits: Accident, critical illness, cancer, pet, and identity theft protection insurance options.
- Personal Travel Discounts.
- 401(k) plans and discretionary employer match.
- Generous Paid Benefit Time.
- Coordination of the hospital-wide case management program.
- Oversee review of patient’s medical record to ensure proper utilization of hospital services.
- Assist Case Managers in providing timely coordination of care and discharge planning.
- Ensure screening of all admissions to determine the appropriate level of care.
- Supervise Case Managers, overseeing the daily operations of the case management department to facilitate optimal financial and clinical outcomes.
- Fiscal planning and regulatory compliance.
- Analyze current systems and variance to identify opportunities for improvement and work to promote quality of care through collaboration with members of the interdisciplinary team.
- Active RN License in the state where hospital resides; BSN/MSN preferred.
- Certification in an approved Case Management Program is preferred.
- Current BLS certification required.
- In facility acquisitions, Licensed Social Worker (LSW) is accepted as qualification in lieu of RN licensure.
- Three to five years of case management experience required.
- Prior experience in IRF or LTACH setting preferred.
- Prior management experience preferred.
Director
Employment typeFull-time
Job functionManagement
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9