NEW JOB OPENING
CARE MANAGEMENT MANAGER
IN LAS VEGAS, NV, USA!

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**

Care Management Manager develops, implements and maintains a system of outcome management. Ensures coordination of care across the continuum on a financial platform.

Education/Experience:
• Graduation from an accredited school of nursing and five (5) years of clinical nursing experience, two (2) years of which were in a supervisory/managerial role.
• Bachelor’s degree in nursing preferred

Licensing/Certification Requirements:
• License from the State of Nevada to Practice as a Registered Nurse.
• Basic Life Support (BLS) Certification.

Preferred Qualifications:
• Minimum three (3) years of Case Management of recent experience in a leadership role
• Recent documented experience in an acute care setting
• Certified Case Manager (CCM) or Accredited Case Manager (ACM)

Membership In:
• The Commission of Case Management Certification (CCMC)
• Academy of Certified Case Managers (ACCM)
• American Case Management Association (ACMA)

Knowledge, Skills and Abilities:
• 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
• Knowledge of 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

Care Management Manager Summary:
• 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.