Case Manager jobs at Wchealth

Schedule: PRN 8hr Days 7a-3:30p (8 shifts per quarter) Your experience matters Northeastern Nevada Regional Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Manager joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Case Manager who excels in this role: Works with patients, family members, area hospital staff, physicians and other community agencies to obtain referrals and provide case management for patients including: screening, pre-admission and admission process and care plan management and coordination. Assists with the development, assessment, implementation, and monitoring of a comprehensive plan of care for patients meeting our high-risk screening criteria by screening on designated programs, coordinating an interdisciplinary team approach to service, and resource delivery beginning on a admission basis and follows through placement into follow up after care in collaboration with the hospital team. Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and appropriateness of medical care, including admission, length of stay, transfer and discharge. Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients. Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement. Counsels and interviews patients/family members and conducts an appraisal of social, emotional and economic complications to provide the physician and the health care team with recommendations and information which will assist in development of the plan for the patient's care upon referral. Provides information to patients/families regarding financial concerns and general information and counsels patients/families surrounding the issues of illness, loss, grief, bereavement, and anger. They also advise, counsel, teach and support patients and/or family members in assuming responsibility/advocacy for personal health care needs, decision making and ongoing planning and service coordination. Serves as an advocate and liaison between patient/family and physician and monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care. Obtains third party payer admission authorization if necessary. Coordinates follow up care to ensure appropriate services are provided to clients. Documents and maintains accurate patient records related to patient referrals, admissions, care plan management and discharges. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position may also offer: Financial & Career Growth: 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Current state RN license One year of acute care experience Case Management, Discharge Planning, Insurance and Utilization Review Experience Preferred Strong Technical Computer Skills American Heart Association Certifications: Basic Life Support (BLS) within 90 days of hire. More about Northeastern Nevada Regional Hospital Northeastern Nevada Regional Hospital is a 75-bed acute care hospital that offers exceptional care to Elko county and the surrounding areas of northeastern Nevada. We are recognized by the American College of Cardiology as an accredited Chest Pain Center and we believe that health care should be effective, safer, and more available to all people. We are committed to providing our patients with the highest quality, family-friendly care available. EEOC Statement Northeastern Nevada Regional Hospital is an Equal Opportunity Employer. Northeastern Nevada Regional Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Responsibilities Henderson Hospital is a member of The Valley Health System, a network of acute care and specialty hospitals that provide care for patients throughout Southern Nevada and nearby communities. Located in Henderson, NV, the acute care hospital offers emergency care, surgical services, including an outpatient surgery center, cardiovascular care, women's health and maternity services, including a Level III neonatal intensive care unit, outpatient wound care and two freestanding emergency departments - the ER at Green Valley Ranch and the ER at Cadence. It is accredited as an Advanced Primary Heart Attack Center, an Advanced Primary Stroke Center and as a bronze-level Geriatric Emergency Department (GEDA). Henderson Hospital has also been honored by The Leapfrog Group as a Top General Hospital, a Top Teaching Hospital and earned the “A” Patient Safety Grade from the Leapfrog Group during its last 13 award cycles. The hospital opened in 2016. Benefit Highlights: Challenging and rewarding work environment Comprehensive education and training center Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career opportunities within VHS and UHS Subsidies Henderson, Nevada: Incorporated in 1953, Henderson is Nevada's second largest city with more than 302,000 residents. Our city is pleased to be recognized as the Second Safest City in America by Forbes magazine and three times named to MONEY magazine's list of “Best Places to Live in America.” Our favorable tax structure, award-winning health care locations, accredited parks, police and fire departments all contribute to these accolades setting our community apart. While our city has grown to host a variety of metropolitan cultural arts and nationally recognized special events, we retain our small-town values and atmosphere. Annual events and local parades are still held in the Water Street District, our original “main street.” Our community also celebrates the grand openings of local businesses, accomplishments of our youth and contributions of our centenarians. With numerous parks, mixed-use shopping areas, master-planned communities and senior living neighborhoods, Henderson is a place where all can live, learn, work and play. Henderson is not just a place to live, but truly a place to call home. Job Description: Assumes shift responsibility and accountability for the planning and provision of direct and indirect nursing care to the patient, family, care partner and appropriate others. Coordinates multi-disciplinary team members, directs and facilitates nursing staff in obtaining safe, optimal health care outcomes. Supports activities that meet the facility vision, mission and goals. Provides professional leadership and support to the healthcare team. Oversees and guides employees that are under his/her supervision. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. Qualifications Shift: FULL TIME NIGHTS Education: Graduate of an accredited school of Nursing. BSN required. Experience: Minimum of one (1) year full time or three (3) years part time experience in acute care specialty nursing. One (1) to three (3) years supervisory experience preferred. Technical Skills: Must be proficient in physical assessment of the cardiovascular patient and fluent in cardiovascular anatomy and physiology. Must be comfortable with 12 lead EKG interpretation and cardiac arrhythmias. Knowledgeable and experienced in stress testing is preferred. License/Certification: Current RN license in the State of Nevada. Current BLS certification. ACLS, PALS, NRP and/or required specialty training or course completion (current upon hire). EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.

Responsibilities West Henderson Hospital is our seventh acute care hospital in The Valley Health System. It is located at the southwest corner of Raiders Parkway and St. Rose Parkway, near the Las Vegas Raiders' headquarters. The 150-bed hospital is equipped to care for patients with a variety of medical needs. Services available include emergency care, cardiac care, neurology care, surgery, gastroenterology and inpatient care for medical needs such as pneumonia. Hospital services include: Hospital services upon opening include: Emergency care, 24/7 Advanced cardiac services, including cardiac catheterization labs Interventional radiology lab for diagnosis and treatment of other medical conditions Neurology care Surgical procedures for general surgery, orthopedics and weight loss Gastroenterology/endoscopy procedures Advanced imaging Laboratory services Respiratory services Inpatient nursing ************************************************ Benefit Highlights: Challenging and rewarding work environment Comprehensive education and training center Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career opportunities within VHS and UHS Subsidies Job Description: Assumes shift responsibility and accountability for the planning and provision of direct and indirect nursing care to the patient, family, care partner and appropriate others. Coordinates multi-disciplinary team members, directs and facilitates nursing staff in obtaining safe, optimal health care outcomes. Supports activities that meet the facility vision, mission and goals. Provides professional leadership and support to the healthcare team. Oversees and guides employees that are under his/her supervision. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. Qualifications Shift: FULL TIME NIGHTS Education: Graduate of an accredited school of Nursing. BSN required. Experience: Minimum of one (1) year full time or three (3) years part time experience in acute care specialty nursing. One (1) to three (3) years supervisory experience preferred. Technical Skills: Must be proficient in physical assessment of the cardiovascular patient and fluent in cardiovascular anatomy and physiology. Must be comfortable with 12 lead EKG interpretation and cardiac arrhythmias. Knowledgeable and experienced in stress testing is preferred. License/Certification: Current RN license in the State of Nevada. Current BLS certification. ACLS, PALS, NRP and/or required specialty training or course completion (current upon hire). EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. ***********

Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center,Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital. Benefit Highlights: Comprehensive education and training center Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career opportunities within VHS and UHS Subsidies Challenging and rewarding work environment Job Description: To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with the patient, family and healthcare team. Qualifications Education: Graduate of an accredited school of nursing. Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social needs. Technical Skills: Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs. License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.

Responsibilities West Henderson Hospital is our seventh acute care hospital in The Valley Health System. It is located at the southwest corner of Raiders Parkway and St. Rose Parkway, near the Las Vegas Raiders' headquarters. The 150-bed hospital is equipped to care for patients with a variety of medical needs. Services available include emergency care, cardiac care, neurology care, surgery, gastroenterology and inpatient care for medical needs such as pneumonia. Hospital services include: Emergency care, 24/7 Advanced cardiac services, including cardiac catheterization labs Interventional radiology lab for diagnosis and treatment of other medical conditions Neurology care Surgical procedures for general surgery, orthopedics and weight loss Gastroenterology/endoscopy procedures Advanced imaging Laboratory services Respiratory services Inpatient nursing Benefit Highlights: Challenging and rewarding work environment Comprehensive education and training center Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career opportunities within VHS and UHS Subsidies Job Description: Assumes shift responsibility and accountability for the planning and provision of direct and indirect nursing care to the patient, family, care partner and appropriate others. Coordinates multi-disciplinary team members, directs and facilitates nursing staff in obtaining safe, optimal health care outcomes. Supports activities that meet the facility vision, mission and goals. Provides professional leadership and support to the healthcare team. Oversees and guides employees that are under his/her supervision. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. Qualifications Shift: FULL TIME DAYS Education: Graduate of an accredited school of Nursing. BSN required. Experience: Minimum of one (1) year full time or three (3) years part time experience in acute care specialty nursing. One (1) to three (3) years supervisory experience preferred. Technical Sills: Must be proficient in physical assessment of the cardiovascular patient and fluent in cardiovascular anatomy and physiology. Must be comfortable with 12 lead EKG interpretation and cardiac arrhythmias. Knowledgeable and experienced in stress testing is preferred. License/Certification: Current RN license in the State of Nevada. Current BLS certification. ACLS, PALS, NRP and/or required specialty training or course completion (current upon hire). EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or 1-800-###-####.

Our team is seeking a Case Manager to work with us in Las Vegas, Nevada, and surrounding areas. Case Managers are one of Mindoula's key front-line roles in delivering our Population Health Program. Our Case Manager works closely with Mindoula's members in the community to understand their behavioral and medical health conditions, as well as their social determinants of health needs, and help our members achieve better health outcomes. What is IVRP? Coordinated supportive services to participants who have experienced acts of interpersonal violence. The program consists of a highly individualized series of violence- and safety-related, social determinants of health-focused, and cost-reducing interventions. Details: Full-time position. Hours are 9 am to 5:30 pm Pacific Time. How you'll contribute: * Conduct meaningful outreach, provide education, and drive member enrollment * In partnership with the member, create a Service Plan to guide engagement based on member diagnoses, results of screenings, as well as care gaps * Build measurable goals for members to develop skills and/or strategies for managing challenges and triggers to reduce hospital admissions/readmissions and use of the ER, and record outcomes * Coordinate community resources for each member to support them in achieving their goals as outlined in their Service Plans, created with an emphasis on meeting behavioral health and medical needs, and closing gaps identified in the social determinants of health * Act as an advocate and liaison between the care team (family, physician, facilities, and/or agencies) and member * Schedule appointments, build accountability, and follow-up services for members * Elevate critical incidents and information regarding any quality-of-care concerns * Report hospital diversions, productivity, and other outcomes weekly * Prepare and maintain all required records, reports, consents, and members' diagnostic records Education & Experience: * Bachelor's Degree required in nursing, social work, or other health and human services discipline * Completion of supervised fieldwork and experience in case management, health, or behavioral health preferred * Experience as a Certified Case Manager (CCM), Community Health Worker (CHW) or Peer Support Specialist (PSS), or Accredited Case Manager (ACM) preferred * Knowledge of local resources, social determinants of health, mental health, substance abuse disorders, violence, and social issues is required Location: * This position is hybrid and requires up to 50% of the time to be working in the field in the community * The employee is required to have reliable transportation Compensation: * The compensation range is between $20.67 to $23.08 hourly based on education and experience. What we offer: * Insurance: Medical, dental, and vision insurance for you and dependents, 401K * Time Off: 11 Holidays and 15 Vacation days, 4 Wellness days * Wellbeing: Employee Assistance Program and Wellness programs are available to you and dependents * Freedom: Design your own workday - we've been remote-first from our founding * Responsibility: You get what you need to excel (MacBook, iPhone, remote technologies)

Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: * Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. * Generous paid time off that accrues over time. * Opportunities for tuition reimbursement and continuous education. * Company-matching 401(k) and employee stock purchase plans. * Flexible spending and health savings accounts. * A vibrant community of individuals passionate about the work they do! Become the Case Manager you always wanted to be * Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences. * Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans. * Participate in planning for and the execution of patient discharge experience. * Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations. * Facilitate team conferences weekly and coordinate all treatment plan modifications. * Complete case management addendums and all required documentation. * Maintain knowledge of regulations/standards, company policies/procedures, and department operations. * Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs. * Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs. * Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs of admission. * Perform assessment of goals and complete case management addendum within 48 hours of admission. * Educate patient/family on rehabilitation and Case Manager role; establish communication plan. * Schedule and facilitate family conferences as needed. * Assist patient with timely procuring/planning of resources to avoid discharge delays or issues. * Monitor compliance with regulations for orthotics and prosthetics ordering and payment. * Make appropriate/timely referrals, including documentation to post discharge providers/physicians. * Ensure accuracy of discharge and payor-related information in the patient record. * Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one's discipline within the state, individual must hold an active license. * Must meet eligibility requirements for CCM or ACM certification upon entry into this position OR within two years of entry into the position. * CCM or ACM certification required OR must be obtained within two years of being placed in the Case Manager II position. * For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an Associate Degree. * For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred. * 2 years of rehabilitation experience preferred. The Encompass Health Way We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing! At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification. We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!

At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members to join its award-winning team! North Vista Hospital is an accredited 177-bed state-of-the-art hospital located in North Las Vegas, Nevada. North Vista offers comprehensive healthcare services, including mental health care, emergency care, heart care, advanced surgical procedures, diagnostic imaging and help for a broad range of medical conditions. Equipped with advanced medical technology and staffed by a team of highly skilled healthcare professionals, North Vista is committed to providing high-quality care in a friendly hospital environment. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Bariatric Surgery Excellence Award, Heart Failure recognition and more. For more information, please visit *************************** Responsibilities 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 insure 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. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license 2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred. 4. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: ******************************************************************************************** Options Apply for this job online Email this job to a friend Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed

HOW MIGHT YOU DEFY IMAGINATION? You've worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience and passion to work toward your goals? At Amgen, our shared mission-to serve patients-drives all that we do. It is key to our becoming one of the world's leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in this meaningful role. Live What you will do Let's do this. Let's change the world. In this vital role the Case Manager will experience day to day oversight and awareness of patient customer service issues with insurance, the specialty pharmacy, and patient support programs * Daily interaction with Regional Business Managers (RBMs), Patient Access Liaison (PAL) and Medical Science Liaison's (MSLs) to ensure current and accurate communication on the status of insurance approvals and reauthorizations * Work closely with RBMs, PALs, the hub, pharmacy, and the patient/family to case manage all steps required to gain access to therapy * Partner with Safety and Pharmacovigilance (PV). Report Adverse Event (AE)'s and product complaints through medical information * Maintain case history for all U.S. patients, entering relevant notes from the hub, the pharmacy, calls to insurance, patient support programs, physicians and nurses, and the patients and families * Maintain and update patient status to track reimbursement and shipping status of U.S. patients * Triage, troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides, billing problems) * Liaise with medical offices as necessary to obtain insurance authorizations * Counsel patients and family on insurance and reimbursement options * Identify general and specific adherence trends and suggest appropriate action * Report on weekly changes in patient status, current adjudication status of all patients, overall reimbursement trends, and any other trends, successes, or roadblocks * Manage, track, and report on Open Enrollment efforts annually to ensure every patient has access to adequate insurance * Advise patients and families on insurance, financial assistance and therapeutic access programs * Attend patient meetings, industry conferences and sales meetings Win What we expect of you We are all different, yet we all use our unique contributions to serve patients. The professional we seek is a [type of person] with these qualifications. Basic Qualifications: Master's degree OR Bachelor's degree and 2 years of Case Management experience Or Associate's degree and 6 years of Case Management experience Or High school diploma / GED and 8 years of Case Management experience Preferred Qualifications: * Bachelor's Degree strongly preferred * 5+ years of experience in the pharmaceutical industry * 2+ years prior experience as a Case Manager * Excellent communication skills and commitment to customer service * Ability to effectively resolve hurdles across multiple cases at the same time * Ability to learn product and disease information, familiarity with HIPAA and FDA * Ability to manage communication with case managers and sales reps across multiple geographies and time zones * Excel and PowerPoint skills required * Up to 20% travel required Thrive What you can expect of us As we work to develop treatments that take care of others, we also work to care for our teammates' professional and personal growth and well-being. In addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: * Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. * A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan * Stock-based long-term incentives * Award-winning time-off plans and bi-annual company-wide shutdowns * Flexible work models, including remote work arrangements, where possible Apply now for a career that defies imagination Objects in your future are closer than they appear. Join us. careers.amgen.com Amgen anticipates accepting until 12/31/2025 however, we will continue accepting applications until we receive a sufficient number or select a candidate for the position. Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. . Salary Range 86,995.00 USD - 100,119.00 USD

Job Description Case Manager (CM) position description: Under the direct supervision of the Lead Case Managers, the CM is an integral member of the multidisciplinary treatment team and is the backbone of the continuum of care for the housing members. The role is intended to be the connection to services and community resources for the ongoing stability of those with mental health and/or substance use disorders. Well Care views this role as pivotal to the success of their programs, and without the work and dedication of this group of employees, the program would be less successful and Well Care would be less effective overall. Qualifications: This position requires advanced knowledge of Case Management processes, knowledge of resources, and attention to detail. This position must embody the vision of the agency and must be helpful with staff and members. A person may qualify for this position with an equal combination of education and experience and will operate under the guidance of those with the proper degree and/or licensure/ certification. Bachelor's degree in Human Services or related field and a minimum of two years of experience working with adults with serious mental illness; or an equivalent combination of training and experience, is required. Knowledge of serious mental illness, substance abuse, psychotropic drugs, entitlement programs and recovery oriented services is preferred.required. Client interviewing, service planning, linkages, consultation, public relations, and experience with electronic medical records is a must for the successful employee. Computer literacy is also required. A good driving record is required, as this position is often going between the workplace and local agencies. DMV must not reflect a total accumulation of six or more negative points within the past three years or a major violation within the past four years. Pre-employment drug testing and FBI criminal background checks are also required. Housing Caseload: Housing Case Load Cases will be assigned from Well Care's housing Program by Case Management Supervisors based on the Case Managers skills and current caseload. Communicate with clients on Case Manager's caseload via phone and/or in person to ensure clients are working on care plan goals and monitor as well as link to services. Must meet 75% productivity standards or will communicate with Leads when there is a problem meeting this standard. Crisis Hotline Assist with filling-in the crisis line for week-long sign ups when needed. The crisis case manager helps assist the call center and with housing clients in crisis after hours and on weekends. The crisis case manager is paid for services provided. Community Court Meet once per week at community court to link clients to Well Care mental health services for the court. Communicate via the Google document to ensure follow-up and facilitate intakes with PUF team. Fill-in Fill in for members of the team for both planned and unplanned absences as management requests. Continue to crosstrain to be able to fill-in as needed. Communication: It is anticipated that Case Managers will demonstrate professionalism by: Responding to emails, as appropriate within 24 hours, however, if the email is urgent or an emergency, will respond within 1 hour when working. Responding to phone calls within 24 hours; however, if the phone call is urgent or an emergency, respond within 1 hour when working. Communicate with the team at the CTC, Clinic, hospital and all discharge plans including need for housing, transportation, PUF services, etc. Update respective trackers necessary for the ongoing success of the agency in regards to their current and future programs and client coverage. Required Documentation: Each case manager must manage their time to complete all necessary documentation on time. Daily TAC Notes completed by the end of the day from time of service. Templates are permissible, but they must be patient -specific for any type of note. Required Meeting Attendance: Required, staggered bi-weekly case management and clinical meetings Bi-weekly staffing with the supervisors of the department is required. Must be able to pass a drug and background check. Job Posted by ApplicantPro

We are currently seeking Full-Time Case Managers/Care Coordinators to provide care coordination and case management services to clients/patients/residents in our facility. The individual in this role will ensure that clients receive the most appropriate services while optimizing resources and adhering to the facility s policies and external regulatory requirements. Make a difference in someone's life by joining the Thrive Behavioral Hospital team! Case Manager Responsibilities: Coordinate the continuum of care activities for assigned clients, ensuring optimal resource utilization and service delivery Collaborate with individuals, families, and discharge resources to ensure smooth transitions in care Manages treatment and discharge activities as needed, working across multidisciplinary teams Drafts and submits petitions, notices, affidavits, and court motions on behalf of patients and the facility Maintains communication with court personnel, including clerks, court-appointed doctors, public defenders, and more, to ensure proper handling of court matters related to patient care. Compiles, maintains, and tracks court appearances and evaluation appointments for patients admitted on an involuntary basis. Ensures accurate and timely documentation of court activities and other relevant case management processes Provides updates to the appropriate departments on patient court proceedings and progression Identifies and mitigates potential safety risks or concerns related to patient care Case Manager Qualifications: Bachelor s degree in human services, social work, or a related field Minimum of one year of experience in a behavioral health setting. Prior experience in case management or utilization review preferred General knowledge of psychotropic medications and their side effects Strong cultural sensitivity and ability to apply age-specific competencies Ability to work within a multidisciplinary team framework Excellent communication and documentation skills Proficient in creating detailed, accurate patient documentation Ability to effectively apply facility-approved policies and procedures Strong awareness of safety protocols and ability to address unsafe conditions Capacity to work with diverse patient populations and intervene with respect and professionalism Additional Requirements: Current and timely renewal of CPR certification for healthcare professionals Annual professional Handle With Care (HWC) certification training and certification provided by Thrive Behavioral Hospital Benefits Offered: Medical Dental Vision Life Insurance 401K

CAN Community Health is now hiring a Medical Case Manager II Licensed Schedule: Full-Time | Day Shift | Monday-Thursday 8:00 am - 5:00 pm Friday 8:00 am - 12:00 pm Are you passionate about patient care and ready to make a difference every day? We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values. We have received recognition for more than six (6) years NPT's Best Non-Profit to Work for Award. Salary: $33.65 - 34.61 per hour based on experience. Why You'll Love It Here Competitive pay Generous paid PTO and Sick time 11 Paid Company Holidays Paid training and certification support Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%. Tuition Reimbursement Plan Other voluntary plans are available to support you and your family Career growth opportunities in a supportive environment What You'll Do The Licensed Medical Case Manager II is responsible for coordinating and delivering comprehensive case management services to clients, ensuring access to care and support in compliance with local, state, and federal guidelines. This role involves eligibility screening, care planning, resource linkage, and collaboration with healthcare teams to promote optimal health outcomes. Screen clients for program eligibility and conduct biannual reassessments for continued enrollment. Verify insurance coverage and coordinate required pre-authorizations. Develop, implement, and update individualized care plans based on patient needs and establish goals in collaboration with the patient aimed at increasing level of functioning and self-sufficiency in all areas of life. Acts as liaison between patients and the care team to address identified needs Utilize advanced skills to assist in collaborating, developing, implementing, monitoring, and evaluating the case management process Performs comprehensive assessments to identify individualized needs in the areas of health, mental health, social support, addiction, financial resources, benefits, legal, language/culture, and employment. Evaluate client medical acuity to establish individualized care priorities and implement evidence-based standards of service delivery Coordinates client access to primary medical care and treatment. Attend client medical appointments as needed. Provide routine medical chart reviews and case conferences with the HIV Primary Medical Provider. Assist as a medical navigator between the patient and the medical clinic. Assists with medical authorizations and prescriptions assistance programs as requested. Submits timely and accurate monthly billing documentation in accordance with grant standards. Document each component of the case management process and related activities in accordance with Local, State, and Federal grant standards and departmental guidelines. Attends and participates in activities related to compliance, audits, meetings, and local and state planning bodies. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Requirements Education/Professional: Master's degree in counseling, Social Work, or related field and current licensure as LMHC or LCSW or associate or bachelor's degree in nursing with active RN or LPN license in good standing. Three years of HIV prevention/intervention experience Please refer to state requirements per jurisdiction Must be able to pass a Level I and Level II Background check as required CAN Community Health, Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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 116-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 352-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 *********************** Responsibilities Coordinates and reviews and coordinates flow of files and documentation in Department. Actively participates in Case Management and Treatment Team meetings. Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment has been documented; gathering data and responding to request for records from fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care. Coordinates communication regarding discharge referrals as requested by clinical staff, fiscal intermediary, patients and families. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Associate or Bachelor's in healthcare or related field or equivalent work experience in the related field. 2. Acute care work experience preferred. 3. Intermediate computer skills including data entry. 4. Proficient communications skills both written and oral. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: ********************************************************************************************

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 116-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 352-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 *********************** Responsibilities Coordinates and reviews and coordinates flow of files and documentation in Department. Actively participates in Case Management and Treatment Team meetings. Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment has been documented; gathering data and responding to request for records from fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care. Coordinates communication regarding discharge referrals as requested by clinical staff, fiscal intermediary, patients and families. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Associate or Bachelor's in healthcare or related field or equivalent work experience in the related field. 2. Acute care work experience preferred. 3. Intermediate computer skills including data entry. 4. Proficient communications skills both written and oral. Employment Status Part Time < 60 Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: ******************************************************************************************** Options Apply for this job online Email this job to a friend Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed

Responsibilities Spring Valley Hospital is a member of The Valley Health System, a network of six acute care hospitals that provide care for patients throughout Southern Nevada and nearby communities. Located in southwest Las Vegas, the 366-bed hospital offers emergency care, advanced cardiovascular and neurological surgeries and procedures, surgical services, womens health, comprehensive maternity services, and a level III neonatal intensive care unit. Spring Valley Hospital is accredited by The Joint Commission (TJC) and has achieved TJC Advanced Certifications in Primary Heart Attack, Thrombectomy-Capable Stroke, and Hip and Knee Total Joint Replacement. Spring Valley Hospital has garnered recognition by US News & World Report for its outstanding achievements in several specialty programs, such as Heart Failure, Heart Attack, Kidney Failure, COPD, and Stroke. Additionally, the Advanced Wound Care and Hyperbaric Center is a distinguished Center of Excellence and Presidents Circle award winning clinic, providing the highest quality in care and patient satisfaction. The hospital received the prestigious Best Place to Have a Baby Gold Award, highlighting its exceptional maternity services, which includes a dedicated entrance open 24/7 to the Birthplace Center. ER at Blue Diamond, an Extension of Spring Valley Medical Center, is a freestanding emergency department providing 24/7 emergency care to infants, children and adults. ER at Blue Diamond has achieved TJC Advanced Certifications in Acute Stroke Ready and Acute Heart Attack Ready. **************************** The Valley Health System (VHS) is an integrated system of care in Las Vegas and Southern Nevada comprised ofacute care hospitals, physician practices and a variety of outpatient services. We focus on clearly defined goals designed to bring about exemplary patient care. Since 1979, we have been providing care to the more than two million people living in Southern Nevada and its surrounding communities. VHS is committed to training the next generation of healthcare providers including physicians, nurses, therapists and others in the allied health support services. The talent and dedication of the over 9,000 employees of VHS is what makes the company unique. VHS is owned and operated by a subsidiary of Universal Health Services, Inc.(UHS). Benefit Highlights: A rewarding and engaging work environment Competitive compensation & generous paid time off Tuition Reimbursement Employee Referral Bonus RN Clinical Ladder and career and growth opportunities within VHS and its 300+ UHS Subsidiaries Excellent Medical, Dental, Vision and Prescription Drug Plans along with a variety of voluntary benefits 401(k) with company match and discounted Stock Plan More Information is available on our Benefits Guest website: benefits.uhsguest.com Job Description: Assumes shift responsibility and accountability for the planning and provision of direct and indirect nursing care to the patient, family, care partner and appropriate others. Coordinates multi-disciplinary team members, directs and facilitates nursing staff in obtaining safe, optimal health care outcomes. Supports activities that meet the facility vision, mission and goals. Provides professional leadership and support to the healthcare team. Oversees and guides employees that are under his/her supervision. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. Qualifications Qualifications: Education: Graduate of an accredited school of Nursing. BSN required Experience: Minimum of one year full time or three years part time experience in acute care specialty nursing. One to three years supervisory experience preferred. Technical Skills: Must be proficient in physical assessment of the cardiovascular patient and fluent in cardiovascular anatomy and physiology. Must be comfortable with 12 lead EKG interpretation and cardiac arrhythmias. Knowledgeable and experienced in stress testing is preferred License/Certification: Current RN license in the State of Nevada. Current BLS certification. ACLS, PALS, NRP and/or required specialty training or course completion (current upon hire). Other: Must successfully pass any pre-employment assessment(s) required by the facility. About Universal Health Services One of the nations largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the Worlds Most Admired Companies by Fortune; and listed in Forbes ranking of Americas Largest Public Companies. UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. RequiredPreferredJob Industries Healthcare

Responsibilities Spring Valley Hospital is a member of The Valley Health System, a network of six acute care hospitals that provide care for patients throughout Southern Nevada and nearby communities. Located in southwest Las Vegas, the 366-bed hospital offers emergency care, advanced cardiovascular and neurological surgeries and procedures, surgical services, women's health, comprehensive maternity services, and a level III neonatal intensive care unit. Spring Valley Hospital is accredited by The Joint Commission (“TJC”) and has achieved TJC Advanced Certifications in Primary Heart Attack, Thrombectomy-Capable Stroke, and Hip and Knee Total Joint Replacement. Spring Valley Hospital has garnered recognition by US News & World Report for its outstanding achievements in several specialty programs, such as Heart Failure, Heart Attack, Kidney Failure, COPD, and Stroke. Additionally, the Advanced Wound Care and Hyperbaric Center is a distinguished Center of Excellence and President's Circle award winning clinic, providing the highest quality in care and patient satisfaction. The hospital received the prestigious “Best Place to Have a Baby Gold Award,” highlighting its exceptional maternity services, which includes a dedicated entrance open 24/7 to the Birthplace Center. ER at Blue Diamond, an Extension of Spring Valley Medical Center, is a freestanding emergency department providing 24/7 emergency care to infants, children and adults. ER at Blue Diamond has achieved TJC Advanced Certifications in Acute Stroke Ready and Acute Heart Attack Ready. **************************** The Valley Health System (“VHS”) is an integrated system of care in Las Vegas and Southern Nevada comprised of acute care hospitals, physician practices and a variety of outpatient services. We focus on clearly defined goals designed to bring about exemplary patient care. Since 1979, we have been providing care to the more than two million people living in Southern Nevada and its surrounding communities. VHS is committed to training the next generation of healthcare providers including physicians, nurses, therapists and others in the allied health support services. The talent and dedication of the over 9,000 employees of VHS is what makes the company unique. VHS is owned and operated by a subsidiary of Universal Health Services, Inc. (“UHS”). Benefit Highlights: A rewarding and engaging work environment Competitive compensation & generous paid time off Tuition Reimbursement Employee Referral Bonus RN Clinical Ladder and career and growth opportunities within VHS and its 300+ UHS Subsidiaries Excellent Medical, Dental, Vision and Prescription Drug Plans along with a variety of voluntary benefits 401(k) with company match and discounted Stock Plan More Information is available on our Benefits Guest website: benefits.uhsguest.com Job Description: Assumes shift responsibility and accountability for the planning and provision of direct and indirect nursing care to the patient, family, care partner and appropriate others. Coordinates multi-disciplinary team members, directs and facilitates nursing staff in obtaining safe, optimal health care outcomes. Supports activities that meet the facility vision, mission and goals. Provides professional leadership and support to the healthcare team. Oversees and guides employees that are under his/her supervision. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. Qualifications Qualifications: Education: Graduate of an accredited school of Nursing. BSN required Experience: Minimum of one year full time or three years part time experience in acute care specialty nursing. One to three years supervisory experience preferred. Technical Skills: Must be proficient in physical assessment of the cardiovascular patient and fluent in cardiovascular anatomy and physiology. Must be comfortable with 12 lead EKG interpretation and cardiac arrhythmias. Knowledgeable and experienced in stress testing is preferred License/Certification: Current RN license in the State of Nevada. Current BLS certification. ACLS, PALS, NRP and/or required specialty training or course completion (current upon hire). Other: Must successfully pass any pre-employment assessment(s) required by the facility. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population with culturally competent delivery of care, services and supports. Facilitates communication, coordinates care and service of the member through assessments, identification, person-centered planning, assist the member in creation and evaluation of person-centered care plans to prioritize and address what matters most, behavioral, physical and social determinants of health needs with the aim to improve the of lives our members. Essential Functions: Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member Engage with the member to establish an effective, professional relationship via telephonic or electronic communication Develop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT, based on member's desires, needs and preferences Identify and manage barriers to achievement of care plan goals Identify and implement effective interventions based on clinical standards and best practices Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management Facilitate coordination, communication and collaboration with the member the ICT in order to achieve goals and maximize positive member outcomes Educate the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made Employ ongoing assessment and documentation to evaluate the member's response to and progress on the ICP Evaluate member satisfaction through open communication and monitoring of concerns or issues Monitors and promotes effective utilization of healthcare resources through clinical variance and benefits management Verify eligibility, previous enrollment history, demographics and current health status of each member Completes psychosocial and behavioral assessments by gathering information from the member, family, provider and other stakeholders Oversee (point of contact) timely psychosocial and behavioral assessments and the care planning and execution of meeting member needs Participate in meetings with providers to inform them of Care Management services and benefits available to members Assists with ICDS model of care orientation and training of both facility and community providers Identify and address gaps in care and access Collaborate with facility-based healthcare professionals and providers to plan for post-discharge care needs or facilitate transition to an appropriate level of care in a timely and cost-effective manner Coordinate with community-based organizations, state agencies, and other service providers to ensure coordination and avoid duplication of services Adjust the intensity of programmatic interventions provided to member based on established guidelines and in accordance with the member's preferences, changes in special healthcare needs, and care plan progress Appropriately terminate care coordination services based upon established case closure guidelines for members not enrolled in contractually required on going care coordination. Provide clinical oversight and direction to unlicensed team members as appropriate Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation Continuously assess for areas to improve the process to make the members' experience with CareSource easier and shares with leadership to make it a standard, repeatable process Adherence to NCQA and CMSA standards Perform any other job duties as requested Education and Experience: Nursing degree from an accredited nursing program or Bachelor's degree in a health care field or equivalent years of relevant work experience is required Advanced degree associated with clinical licensure is preferred A minimum of three (3) years of experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required Maternity/Mother and Baby experience strongly preferred Three (3) years Medicaid and/or Medicare managed care experience is preferred Competencies, Knowledge and Skills: Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel Ability to communicate effectively with a diverse group of individuals Ability to multi-task and work independently within a team environment Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices Adhere to code of ethics that aligns with professional practice Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice Strong advocate for members at all levels of care Strong understanding and sensitivity of all cultures and demographic diversity Ability to interpret and implement current research findings Awareness of community & state support resources Critical listening and thinking skills Decision making and problem-solving skills Strong organizational and time management skills Licensure and Certification: Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Professional Clinical Counselor is required. Licensure may be required in multiple states as applicable based on State requirement of the work assigned Case Management Certification is highly preferred Working Conditions: Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members Compensation Range: $61,500.00 - $98,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Create an Inclusive Environment Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.#LI-JS1

is available at both our Reno office and our Las Vegas Office!! Join us in increasing opportunities for home, community, and school success for individuals with disabilities, including those with behavioral healthcare needs. An ideal candidate for this position is a parent, or family member of a child with a disability, special healthcare needs, mental health needs, developmental delays, educational or behavioral concerns, residing in Northern Nevada including Rural communities Other valued skills include: the ability to develop a good working relationship with the community organizations, diverse populations, and the general public; a team building attitude, ability to positively work with co-workers and volunteers; a desire to provide non-judgmental family peer support. About Nevada PEP PEP services are about empowering families to be life-long advocates for their children through education and skill building. PEP recognizes that parents are experts on their children; and must learn about disabilities, intervention needs, and how to develop a support system to meet those needs. PEP is a family of families caring, supporting and guiding one another through the challenges of raising children. When others don't understand, parents always have someone to talk to at PEP. Over the years, not only has PEP made a difference in the individual lives of families, PEP has also made a positive impact for child and family services through community collaboration, public awareness, partnering with professionals, and system advocacy efforts. Nevada PEP is an equal opportunity employer, offering a comprehensive benefit plan for eligible employees. Benefits' Package Include Health, Dental and Vision Insurance Vacation Sick Leave Direct Deposit Paid time off on Federal Holidays + your Birthday!

Job Details Bristol Hospice Las Vegas - Henderson, NV Full Time $72000.00 - $80000.00 Salary/year DayWhy Bristol Hospice? Must be a Licensed Social Worker in the State of Nevada (LMSW or LCSW)! Coverage Area: Clark County, Nevada Are you a compassionate, dedicated professional looking to make a meaningful impact in the lives of patients and their families during their most vulnerable moments? Join the Bristol Hospice team as a Licensed Medical Hospice Social Worker, where your work will play a critical role in providing comfort, support, and dignity to those nearing the end of life. We Got the Perks: *Some benefits apply to full-time employees only Tuition Reimbursement (Full-Time Only) PTO and Paid Holidays (Full-Time Only) Medical, Dental, Vision, Life Insurance, Disability Coverage, and more (Full-Time Only) HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Qualifications, Duties, and Perks An Average Day: (Includes, but not limited to) Assess the psychosocial status of patients and families/caregivers related to the patient's terminal illness and environment and communicates findings to the registered nurse and other members of the interdisciplinary group Provide an assessment in the patient's identified residence and assistance when this is not safe, and another plan is required Carry out social evaluations, including family dynamics, caregiver abilities, communication patterns, high risks for suicide, neglect or abuse and plan intervention based on evaluation findings Counsel patient and family/caregivers as needed in relationship to stress, and other identified coping difficulties; provide crisis intervention when necessary Assess for, and educate interdisciplinary group, on any special needs related to the culture of the patient and family, including communication, role of family, space, and any special traditions or taboos Maintain clinical records on all patients referred to social work Educate patients and families on, and assist in, preparation of advanced directives Provide information and referral services for organization patients and families/caregivers regarding practical and environmental needs Provide information to patients and families/caregivers and community agencies Serve as liaison between patients and families/caregivers and community agencies Maintain collaborative relationships with organization personnel to support patient care Maintain and develop contacts with public and private agencies as resources for patient and personnel Participate in the development of the individualized plan of care, involving the patient and family, and attend regularly scheduled interdisciplinary group meetings, assist the team in recognizing the effects of the psychosocial stresses on symptoms of the terminal illness Assist physician and other team members in understanding significant social and emotional factors related to health problems and death/dying issues Actively participate in quality assessment performance improvement teams and activities Assist family and patient in planning for funeral arrangements, financial, legal, and health care decision responsibilities Perform other duties as delegated by the Clinical Supervisor Requirements: Must be a Licensed Social Worker in the State of Nevada Must have a master's degree in social work from an accredited university. Must have minimum of two (2) years of documented supervised experience in health care, hospice experience preferred Must understand hospice philosophy, and issues of death/dying. Certified Hospice and Palliative Social Worker is desirable Must be flexible in work hours and have the ability to travel throughout the assigned Bristol Hospice service area Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.