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Nurse Manager

The Judge Group

This is a Full-time position in Las Vegas, NV posted April 10, 2021.

Location: Las Vegas, NV
Salary: Based on Experience
Description:

Judge Healthcare is currently seeking a Nurse Care Manager with one of or premier clients in Las Vegas Nevada!

 

Location: North Tenaya Way

Las Vegas, NV 89128

Shift:4 (10 hour shifts) 10PM-8:30AM
Rotating weekends and Holidays

Job Description: (5 months contractual position) *** Registered Nurse Telephone Advice Nurse and Case Manager***
Primary responsibility is to provide telephonic triage and nurse advice based on nationally recognized protocols as well as various case management activates to include discharge planning, transitions of care, and utilization management of health plan members. Ensure members receive quality medical care in the most appropriate setting.

Responsibilities:

  • Perform thorough telephonic nursing assessment and clinical review to determine appropriate triage protocol to utilize for nurse care advice. Ensure member is directed to appropriate level of care at contracted facilities.
  • Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
  • Utilize both company and community based resources to establish a safe and effective case management plan for hospitalized members.
  • Collaborate with member, family and health care providers to develop an individualized plan of care that encompasses both acute care episode and post hospital discharge plan.
  • Communicate with all stakeholders the required health related information to ensure quality coordinated care and services are provided expeditiously to all members.
  • Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team.
  • Utilize approved clinical criteria to assess and determine appropriate level of care for hospitalized members.
  • Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan.

Competencies and Best Practice for High Performers:

Strong organizational and computer skills.

Strong written and oral communication skills

Good problem-solving skills

Ability to negotiate with professionals, patients and caregivers

Independent case management knowledge and skills to formulate plans of care without direct supervision preferred

Ability to contribute to the organization’s efforts to eliminate racial and ethnic disparities in organizational performance.

All interested and qualified candidates can contact Garrett at gfitzgerald@judge.com or call (610) 617-1483 for immediate consideration

Thanks!

Contact: gfitzgerald@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com