- CVS Health (Carson City, NV)
- …utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses Motivational ... 3+ years of direct clinical practice experience + An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC,… more
- Molina Healthcare (Las Vegas, NV)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... management or home health experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Case Manager (CCM), To all current Molina employees: If you… more
- Elevance Health (Las Vegas, NV)
- …**Schedule:** First shift PST daytime hours The ** Behavioral Health Care Manager I** is responsible for performing case management telephonically within the ... scope of licensure for members with behavioral health disorder needs. **How you will make an...an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments… more
- Elevance Health (Las Vegas, NV)
- …in a Hybrid model (both remote and in office). The **Nevada Crisis Manager II Behavioral Health Services** is responsible for overseeing day-to-day operations ... for an inbound and outbound 24/7 call center managing Behavioral Health Services; manages case consultation and...clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred. For candidates working in… more
- Highmark Health (Carson City, NV)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …specialty care programs, and/or clinics as assigned by the BHIP Program Manager and the Outpatient Chief, Behavioral Health Service.in Performance Improvement ... national committees/community networking activities as requested by the BHIP Program Manager and the Outpatient Chief, Behavioral Health Service.… more
- Molina Healthcare (Las Vegas, NV)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Highmark Health (Carson City, NV)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- HCA Healthcare (Las Vegas, NV)
- …Hills Hospital and Medical Center have the opportunity to make a real impact. As a Case Manager RN PRN, you can be a part of change. **Benefits** Southern Hills ... and improve positive outcomes for your patients as a Case Manager RN PRN. We want your...of employment start date + 2+ years experience in case management OR 3+ years experience in clinical… more
- CenterWell (Las Vegas, NV)
- …and help us put health first** **The Role** 10k sign on bonus** The Manager Care/ Case Management is responsible for managing a team of nurses, community ... health workers, and behavioral health resources who engage high risk/high needs patients...and services they need to reach optimal health. The Manager is also responsible for building strong partnerships with… more
- Elevance Health (Las Vegas, NV)
- …May identify cost of care opportunities. Works independently with oversight from immediate manager . May be responsible for an entire clinical program and/or ... minimum of one day or more a week.** The ** Behavioral Health Medical Director - Psychiatrist - Nevada** is...with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians… more
- Somatus (Reno, NV)
- …service Preferred Qualifications: * BSN * Active New York RN license * Certified Case Manager (CCM) * Diabetic educator experience * ICU, Cardiology or Critical ... management programs and approved by medical management in order to optimize clinical outcomes. + Monitors and coaches patients using techniques of motivational… more
- Molina Healthcare (Reno, NV)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... management, disease management or utilization management in managed care, medical or behavioral health settings. + Two years of clinical auditing/review… 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 ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Highmark Health (Carson City, NV)
- …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... **EXPERIENCE** **Required** + 5 years with Any combination of clinical , case management, and/or disease/condition management experience,...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Elevance Health (Las Vegas, NV)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- HCA Healthcare (Las Vegas, NV)
- …with discharge planning or psychosocial needs. + You will obtain input from the RN case manager to ensure the discharge plan is appropriate and aligns with the ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and… more
- Maxim Healthcare Services (Reno, NV)
- …changes in patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all ... medical record and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required + Supports professional… more