- Guardian Life (Carson City, NV)
- …Identifies potentially fraudulent cases. + Follows the designated escalation process to the Nurse Case Manager as applicable. **Communication (Verbal and ... what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively...interacts and consults with key partners including: Clients, Claimants, Nurse and Disability Case Managers, Risk Management.… more
- Army National Guard Units (Carson City, NV)
- Summary This position is for a NURSING ( CASE MANAGER ), PD# T5637P01, part of the Nevada National Guard. This position is located in the Office of the State ... in the state with appropriate staff to schedule meetings with SM in case management, update unit leadership, attend medical synchronization meetings and may provide… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The Case Manager provides quality case management and psychotherapeutic services to all patient and their families. Serves as a member of interdisciplinary ... mental health practitioners to meet patients' aftercare needs. + Master's level Case Manager provides individual, group, and family psychoeducation-oriented care… more
- Sedgwick (Carson City, NV)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... accredited college or university or equivalent work experience preferred. Certification in case management, rehabilitation nursing or a related specialty is… more
- Highmark Health (Carson City, NV)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel ... to identifying the appropriate clinical interventions and referrals, the incumbent manages an active case load of members in their panel that are enrolled in case… more
- Prime Healthcare (Reno, NV)
- …preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/183134/ case - manager -rn-union 10hr ... an acute care setting within the last 5 years. + Current licensure as a Registered Nurse in the State of Nevada. + Must be able to communicate in English (Speak,… more
- Elevance Health (Reno, NV)
- …This position will work virtually and must reside in or around Reno, Nevada. The ** Nurse Case Manager ** is responsible for performing care management within ... required. **Preferred skills, qualifications and experiences:** + Certification as a Case Manager is preferred. For URAC accredited areas the following applies:… more
- Evolent (Carson City, NV)
- …health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the patients and their ... enjoy working in a collaborative, team-oriented system. + CCMC (Commission for Case Manager Certification) + Knowledge and experience teaching self-management. +… more
- Highmark Health (Carson City, NV)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Maxim Healthcare Services (Reno, NV)
- …patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all physician ... and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required +...+ Supports professional practice by observing the following; o Nurse Practice Act o Standards of Nursing … more
- BrightSpring Health Services (Carson City, NV)
- …the patient's efforts toward self-sufficiency and optional comfort care + Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to ... improvement teams and activities Qualifications + Graduate of an accredited school of Nursing + Current Registered Nurse licensure in State and American Heart… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …SM/Vs) and other SM/Vs with identified case management needs are assigned to a nurse or social worker case manager and oversees or works closely with ... care management teams to include nurse and social worker case managers, the...Coordinator, the Spinal Cord Injury (SCI) Coordinator, the Polytrauma Case Manager if applicable, and the Women… more
- BrightSpring Health Services (Reno, NV)
- …when given a patient's assignment and attends his/her requests promptly + Reports to the Case Manager immediately, if unable to perform a certain task + Provides ... Reports on patient's condition and significant changes to the Case Manager + Also aware of the...in ambulation and exercise as instructed by the hospice nurse or therapist + Provides normal range of motion… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...disciplinary action. + Minimum of an Associate's degree in nursing . + Seasoned professional nurse with a… more
- Option Care Health (Carson City, NV)
- …strategies. + Manage multiple internal (CL, Intake, Branch Staff) and External ( case manager , hospital administration) relationships and process to ensure ... + Partner with internal team members (Specialty Sales, Clinical Liaison, RSD, Nursing ) who provide specialized knowledge and experience to grow relationships and… more
- CenterWell (Carson City, NV)
- …As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled nursing visits for home health patients. + ... Administer on-going care and case management for each patient, provide necessary follow-up as...patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial… more
- United Therapeutics (Carson City, NV)
- …diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and oversight of ... end-to-end case safety management activities spanning across our global commercial...Act as the main point of contact and functional manager for day-to-day questions or issue escalation regarding PM… more
- Molina Healthcare (Reno, NV)
- …Time Zone hours** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... + May conduct staff trainings as needed. + Communicates with QA supervisor/ manager about issues identified and works collaboratively to resolve/correct them. **JOB… more
- Highmark Health (Carson City, NV)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with applicable state,… more
- Sharecare (Carson City, NV)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner ... by providing high-quality telephonic Case or Care Management with... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more