Salary Estimate: $103916.80 - $155896.00 / year
Learn more about the benefits offered for this job.
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
Job Summary and Qualifications- As the Manager of Case Management, you will assist in the direction of the Case Management program, including the functions of case management, utilization management, resource management, discharge planning, and care coordination for the facility
- You will be responsible for assisting in the coordination of the systems necessary for safe and appropriate discharges, as well as utilization management practices that meet corporate, division, facility, and regulatory guidelines
- You will assess and evaluate the care/ services provided, staffing levels, competency, and educational needs of the case management staff and effectively coordinates and controls resources
- You will provide consultation and education to facility leadership, clinical, and financial personnel, the Board of Trustees, and medical staff members related to case management practices
- This position assists the Director of Case Management who oversees the annual review of the Case Management/ Utilization Management Plan of the hospital, and will assist in the identification and implementation of processes that support and promote efficient patient throughput across the Healthcare Continuum resulting in optimal clinical outcomes, appropriate utilization of resources, appropriate patient status, level of care, and appropriate and accurate reimbursement
What qualifications you will need:
- Diploma in Nursing, ADN, BA, or BSN degree in nursing or other healthcare related field.
- Master's degree preferred
- National Certification in Case Management (ACM or CCM) preferred
- Minimum five (5) years experience in acute care nursing, two (2) years experience in management in the acute setting, in the area of case management, throughput, and/ or utilization management
- Advanced knowledge of levels of care criteria; good financial management; and strong knowledge of regulatory standards for federal payers, JCAHO, and other insurance companies
Sunrise Hospital & Medical Center provides Las Vegas and the Southwest region with high-quality, advanced healthcare services. We have been serving our community for nearly 60 years. Sunrise Hospital has been a Consumer Choice Award recipient for 15 consecutive years.
We are the largest acute care facility in Nevada and the state's only fresh post-op Pediatric CICU. Our facility offers an advanced comprehensive stroke center which received the Gold Plus Performance Achievement Award from the GWTG.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.