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Form of workJob Description
Sign on bonus may apply
Position Summary:
Oversees the overall operations of care management functions through oversight of both daily and long-term activities at the hospital. Is responsible for developing systems and processes for Case Management and social services, and managing department activities related to clinical quality improvement. Actively provides support and leadership to collaborative discharge planning and utilization review processes. Coordinates duties with appropriate personnel to meet operational program needs, ensures compliance with state and federal health plan requirements, Medicare guidelines and standards; develops and implements policy and procedures, updates and integrates current clinical practice guidelines.
Position Summary:
Oversees the overall operations of care management functions through oversight of both daily and long-term activities at the hospital. Is responsible for developing systems and processes for Case Management and social services, and managing department activities related to clinical quality improvement. Actively provides support and leadership to collaborative discharge planning and utilization review processes. Coordinates duties with appropriate personnel to meet operational program needs, ensures compliance with state and federal health plan requirements, Medicare guidelines and standards; develops and implements policy and procedures, updates and integrates current clinical practice guidelines.
Job Requirement
Education/Experience:
- Equivalent to a Bachelor's Degree in nursing, management, business administration or related field and five (5) years of clinical nursing experience, or utilization review/Case Management experience, three (3) years of which were in a supervisory/managerial role.
- Professional level experience is defined as being employed in an FLSA exempt/salaried status position.
Licensing/Certification Requirements:
- License from State of Nevada to Practice as a Registered Nurse.
- Basic Life Support (BLS) Certification.
Additional and/or Preferred Position Requirements
- Master's Degree.
- Certified Case Manager. (CCM)
- EPIC Knowledge.
Recent Experience:
- Five (5) years of recent documented experience demonstrating progressive leadership with three (3) years specific to Case Management.
- Case Management in a large and complex acute care hospital environment.
- For-profit acute care Case Management leadership.
Must demonstrate experience in the following:
- Drives results based on key performance indicators.
- Ability to problem-solve.
- Strong interpersonal skills to collaborate with Physicians, Executive Leadership, Colleagues, and Staff.
- Ability to hold others accountable.
Knowledge, Skills, Abilities, and Physical Requirements:
- Knowledge of:
- 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 technique discharge planning processes; 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; 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.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.
Please note: This is an EXEMPT position which is not covered by the union. Applicants for employment to non-union eligible positions are not eligible for longevity benefits. Current UMC employees who have not qualified for longevity payments (do not have 8 full years of creditable service) and who voluntarily transfer, promote, demote or are reassigned into a non-union eligible position will not receive the longevity benefit.
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