Case Mgr RN PD Union - SMRMC Utilization Mgmt

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary's Health Network, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

As a long-standing community partner with a 114-year history, Saint Mary's Health Network offers Northern Nevada inpatient, outpatient, ancillary, and wellness services. Nationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America's Best 250 hospitals by Healthgrades, Saint Mary's Regional Medical Center is a 380-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. The health system, a member of Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics. For more information, visit www.SaintMarysReno.com.

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Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

EDUCATION, EXPERIENCE, TRAINING

Two (2) years clinical experience in an acute care setting within the last 5 years.
1. Current licensure as a Registered Nurse in the State of Nevada.
2. Must be able to communicate in English (Speak, Write)
3. Demonstrates: - excellent communication skills both verbal and written - ability to facilitate and collaborate with an interdisciplinary team - flexibility to manage multiple complex cases simultaneously - attention to detail and follow-up - critical thinking and problem-solving skills.
4. Current BLS (AHA) certificate
5. Case Management Certification (CCM) preferred.