RN Case Manager PRN

Hourly Wage Estimate: $73.97 - $73.97 / hour

The estimate displayed represents the typical wage 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.

As a RN Case Manager PRN, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

The Registered Nurse Case Manager will be responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Our team is amazing, we consider ourselves a family who work hard to support each other and we are looking for someone who feels patient care is as meaningful as we do.

If that is you, come be a part of what makes us great.

• You will be performing admission review to determine appropriateness and medical necessity based on approved criteria and standards and providing payors with admission and concurrent reviews as requested
• You will be maintaining system for monitoring all admissions and assure timely concurrent reviews
• You will be making appropriate referrals related to medical necessity, utilization, quality, or risk management and coordinating on-going care and utilization with hospital staff, physicians, ancillary services, and patient
• You will plan, coordinate, and facilitate all discharge needs for patients including Home Health, DME, placement, community resources, and hospice care

• Graduate of an accredited School of Nursing program
• Current licensure as a Registered Nurse in the state of Nevada
• Current Basic Cardiac Life Support (BLS)
• Two years in hospital case management with three years nursing experience preferred
• Will consider a minimum of five years of clinical nursing experience with two years critical care or nursing leadership experience in lieu of case management experience
• Must have knowledge of CMS Rules and Regulations (including Patient Status and Level of Care)
• Can maintain accurate and specific documentation directed by the Case Management Plan
• Interprets clinical data compiled by hospital medical records for the purpose of admission/concurrent review for Medicare and self-pay patients
• Identifies potential utilization and quality management issues, reporting all issues to the appropriate department or personnel
• Knowledge of DRGs and GMLOS

Sunrise Hospital and Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance,…