Clinical Manager - Care (Case) Management

My Next Career Path Staffing - With over 20 years’ experience in Technology Staffing, MNCP Staffing matches candidates to the culture of an organization as well as required skill sets.

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)

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

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.

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

Additional Position Requirements

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.