Job Description

Posting number: 26-CMMQ4

Department: CASE MGMT - 8290

Job classification: Care Management Manager - 17148

Posting type: Open

Categories: Management, Nursing

Summary

EMPLOYER-PAID PENSION PLAN ( NEVADA PERS)

EMPLOYER-PAID PENSION PLAN ( NEVADA PERS)

COMPETITIVE SALARY & BENEFITS PACKAGE

As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients.UMC is home to Nevada's ONLY Nonprofit Level I Trauma Center, Verified Burn Center, and Multi-Organ Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care.

THIS POSITION IS CONSIDERED AT-WILL AND WILL SERVE AT THE PLEASURE OF THE CEO.

Sign-on Bonus up to 10K (depending on experience/location)

Position Summary:

Develops, implements and maintains a system of outcome management. Ensures coordination of care across the continuum on a financial platform.

Examples of duties

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.

Licensing/Certification Requirements:

License from State of Nevada to Practice as a Registered Nurse. Basic Life Support (BLS) certification accepted by the American Heart Association (AHA).

Qualifications

PREFERENCES WILL BE GIVEN TO APPLICANTS WHO DOCUMENT THE FOLLOWING:

• Bachelor’s degree in nursing.
• Minimum fifteen (15) years of experience in Nursing.
• Minimum ten (10) years of experience in Case Management.
• Minimum five (5) years of recent experience in a leadership role in Case Management.
• Recent documented experience in an Acute Care setting
• One or more of the following A PLUS!
• 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)

Supplemental information

Knowledge of:

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; 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.

Skill in:

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.

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