RN Case Manager Utilization Review - FT Days
Posted on Apr 10, 2019 by Sunrise Hospital
DescriptionSHIFT: Days (rotating weekends)
Serving the community for nearly 60 years, Sunrise Hospital and Medical Center provides the most comprehensive, quality healthcare in Southern Nevada. As Las Vegas' largest acute care facility, Sunrise provides sophisticated inpatient and outpatient services to the community. Sunrise Hospital and Medical Center has been selected the Consumer Choice Award recipient for 15 consecutive years and had earned the American Stroke Association's Get With The Guidelines (GWTG) Gold Plus Performance Achievement Award. We are also ranked Nursing Professionals Top 100 Hospitals to work for!
RN Case Manager/Utilization Review Nurse - Full Time Days
102-Case Manager Utilization Review - Full Time No Weekends
G raduate of an accredited nursing program - diploma, associate degree, or baccalaureate program; BSN preferred.
Minimum of three (3) years of clinical experience in nursing; Minimum of one (1) years in acute hospital case management and utilization review for Medicare, Managed Care and Commercial payors. Must have knowledge of Interqual. Must have demonstrated prior job interactivity with multiple departments, disciplines and physicians, as well as organizational levels. Must have knowledge of DRGs and GMLOS.
Case Management Certification (CCM) or CPUR (Certified Professional Utilization Review) preferred; BLS required .
Current license to practice as an RN in Nevada. Independently maintains license. Maintains required continuing education units to practice and maintain license.