NewRN CASE MANAGER or SOCIAL WORKER, Full Time Sierra Medical CenterRN CASE MANAGER or SOCIAL WORKER, Full TimeReno, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Sierra Medical Center is a 170-bed acute care hospital offering services including 24/7 ER care, cardiology, oncology, labor and delivery, level II NICU, surgical and orthopedic services, and much more.
Medical Case Manager - Workers' Compensation ForzaCareMedical Case Manager - Workers' CompensationReno, NVPart timeFounded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.
Case Management Coordinator Psych Acute Prime Healthcare Services IncCase Management Coordinator Psych AcuteReno, NVNationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America's Best 250 hospitals by Healthgrades, Saint Mary's Regional Medical Center is a 352-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment has been documented; gathering data and responding to request for records from fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Case Management reporting.
Case Management Coordinator - Psych Acute Saint Mary's Regional Medical CenterCase Management Coordinator - Psych AcuteReno, NevadaNationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America’s Best 250 hospitals by Healthgrades, Saint Mary’s Regional Medical Center is a 352-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment has been documented; gathering data and responding to request for records from fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Case Management reporting.
NewNurse Case Manager - Reno, NV Paradigm Management Services LLCNurse Case Manager - Reno, NVReno, NVThe Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers. We're striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve.
RN CASE MANAGER or SOCIAL WORKER, Full Time University Health Services IncRN CASE MANAGER or SOCIAL WORKER, Full TimeRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Case Manager (Reno) WC HealthCase Manager (Reno)Reno, NVFull timeBachelor's degree in Human Services or related field and a minimum of two years of experience working with adults with serious mental illness is preferred; or an equivalent combination of training and experience. We pledge to continue to challenge the status quo in healthcare delivery and strive to develop new programs through the collaborative efforts of our dedicated team, partners, patients, and communities we serve.
NewClinical Case Manager (Sign-on Bonus) Activate CareClinical Case Manager (Sign-on Bonus)Reno, NV$73,000–$80,000You bring licensed clinical judgment to the team's most complex and highest-risk situations, conduct assessments within your scope of practice, support care planning within an interdisciplinary care team, and serve as the escalation point when members present with behavioral health, crisis, or safety concerns. While this role has no direct reports, the Clinical Case Manager is a leader on the team, providing clinical oversight, case consultation, and hands-on assistance to CHWs as they engage members and address health-related social needs.
Case Manager Immigration Bilingual Spanish The GEO GroupCase Manager Immigration Bilingual SpanishReno, NevadaFull timeIdentifies and maintains relationships with translation resources in the community, including private services, volunteers, universities, English as a Second Language (ESL) schools, NGOs, churches, and other organizations that might have resources to offer. At least two (2) years of customer service or case management experience required; experience in fields related to law, social work, detention, corrections or working with multi-cultural clients preferred.
Case Manager, Immigration-Bilingual Spanish The GEO Group IncCase Manager, Immigration-Bilingual SpanishReno, NVIdentifies and maintains relationships with translation resources in the community, including private services, volunteers, universities, English as a Second Language (ESL) schools, NGOs, churches, and other organizations that might have resources to offer. Summary: Provides case management of Intensive Supervision Appearance Program (ISAP) participants from entry to release by administering the program's policies and procedures as defined by the Department of Homeland Security (DHS) contract.
Hospice RN Case Manager UnitedHealth Group IncHospice RN Case ManagerReno, NV$60,200–$107,400 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
CASE MANAGER PER DIEM Carson Tahoe Regional HealthcareCASE MANAGER PER DIEMCarson City, NVThis individual is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources while respecting patient's right to self-determination. The Case Manager collaborates with medical staff, interdisciplinary team, and external resources to assess, coordinate, implement, and evaluate services required to promote quality outcomes and efficient resource management.
Director of Disability Underwriting - Large Case Unit Massachusetts Mutual Life Insurance CompanyDirector of Disability Underwriting - Large Case UnitCarson City, NVRemote$144,800–$190,000 / yearLead the Disability Large Case Unit underwriting team, providing efficient, proactive and exceptional service experience to our field offices and advisors, while ensuring staffing and variable capacity meet growing demands. To ensure we are best positioned to do so, the Disability Underwriting Large Case Unit is guided by the following principles: Cultivate a culture centered on risk discipline, accountability, collaboration and knowledge sharing.
Hospice Registered Nurse RN Case Manager Eden Healthcare Management LLCHospice Registered Nurse RN Case ManagerReno, NVCaseloads will vary from approximately 12-18 patients, depending on issues such as complexity of patient/family needs, geography, and home-based versus facility-based patients; Demonstrates competency in all skills required for the agency, including, but not limited to pain management, symptom control, infusion therapy, infusion therapy device care, wound care and aseptic technique; Demonstrates critical thinking, analysis and clinical judgment in the care of patients and families facing terminal illness; Addresses the physical, emotional, psychosocial, and spiritual needs of the patient and family/caregiver; Makes referrals to other disciplines as needed; Coordinates the total Plan of Care and maintains continuity of patient care by liaising with other health professionals assigned to the same patients; Attends all interdisciplinary group meetings; Initiates patient care conferences for complex patients whenever needed; Includes the patient/family in implementation of the patient care plan; Evaluates and routinely re-evaluates the nursing needs of the patient, and makes necessary revisions to the patient's Plan of Care as needed; Educates the patient and family/caregiver on their rights and responsibilities as a Hospice patient; Communicates with the patient's Attending Physician and the Hospice Medical Director keeping them informed of changes in condition; The Hospice Registered Nurse is a Case Manager of the patient's care and ensures that resources are utilized in an equitable and beneficial manner to meet needs; The RN Case Manager manages the patient's care from admission through discharge and coordinates with interdisciplinary team on bereavement. Discounted tickets to a variety of events (Disney Land, Disney World, Universal Studios, SeaWorld, Local Concert/Sporting Events, Hotels/Resorts, etc.).
Case Manager, Registered Nurse (Oncology experience required) CVS Health CorpCase Manager, Registered Nurse (Oncology experience required)NV$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
RN COMPLEX CASE MANAGER NEVADA HEALTH CENTERS, INC.RN COMPLEX CASE MANAGERCarson City, NVSupport and participate in the interdisciplinary team approach, working collaboratively to develop and implement treatment plans that support the patient-centered plan of care to ensure excellent member satisfaction, effective resource utilization, improved quality of care and cost-effective outcomes. The CCM works to avoid duplication and misuse of medical services, control costs by reducing inefficient services, and improve the effectiveness of care delivery system leading to the enhancement of the patient care experience and improving patient outcomes.
Case Manager RN Tribal HealthCase Manager RNReno, NevadaThis role ensures high-quality, patient-centered outcomes by coordinating care, identifying barriers, and developing effective discharge plans across the continuum of care. The RN Case Manager Care Coordinator is responsible for facilitating interdisciplinary care plans with a focus on medical necessity, resource utilization, and patient throughput.
NewClass Action Associate Attorney Federal & State Cases BCG Attorney SearchClass Action Associate Attorney Federal & State CasesReno, NVBCG Attorney Search is looking for a Class Action Associate Attorney in Reno, NV, with at least 2 years of experience to manage a complex caseload of federal and state cases related to unfair business practices, consumer protection, and privacy statutes. The ideal candidate will possess a Juris Doctor from an accredited law school, strong research and advocacy skills, and be an active member of the State Bar Association.
Registered Nurse Case Manager Hospice BrightSpring Health ServicesRegistered Nurse Case Manager HospiceNVYou will: • Assess/monitor physical, emotional, and psychological needs of patients • Create hospice care plans that align with the patient's wishes and goals • Direct nursing care: administering medications, treatments, and interventions • Provide pain and symptom management • Educate and support the patient's family and caregivers • Collaborate with interdisciplinary team • Maintain accurate and timely documentation • Participate in on-call rotation as required by local branch. • Graduate of an accredited nursing school with current licensure to practice in state of operation • One year nursing experience required, 3+ years preferred • Experience in hospice or a similar setting preferred • Knowledge of the hospice philosophy of care • Commitment to clinical and documentation excellence • Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.
Clinical Case Manager (Wound Care) OX BiomedClinical Case Manager (Wound Care)Reno, NevadaThe case manager will be required to document coverage results in our online software application, review patient clinical for payor medical necessity and initiate prior authorization or predetermination with payor. The case manager will be responsible for verifying patient insurance coverage/benefits using online portals or calling the Payor directly for accuracy.
Case Manager-Home Health Renown HealthCase Manager-Home HealthReno, NVIn conjunction with the home health interdisciplinary team and the patients medical provider, directs home health episode of care to ensure positive patient outcomes and compliance with federal, state, and The Joint Commission requirements and excellent nursing practice Nature and Scope This position will ensure the integration and promotion of the mission and philosophy of Renown Health and the agency and ensure quality and appropriateness of services for patients as defined by Agency policy as well as state and federal guidelines. Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Senior/Medical Science Liaison - PAH (N. CA/AZ/NV) United Therapeutics CorpSenior/Medical Science Liaison - PAH (N. CA/AZ/NV)NV$140,000–$220,000 / year6+ years of experience working in the biotech / pharmaceutical industry (or appropriate clinical setting) with a Master's Degree in life sciences or relevant field (e.g., NP, PA) or, 2+ years of experience working in the biotech / pharmaceutical industry (or appropriate clinical setting) with a PharmD, PhD, or MD and. 8+ years of experience working in the biotech / pharmaceutical industry (or appropriate clinical setting) with a Master's Degree in a relevant life sciences field (e.g., NP, PA) or, 5+ years of experience working in the biotech / pharmaceutical industry (or appropriate clinical setting) with a PharmD, PhD, or MD.
Physician Clinic Medical Director Concentra Inc.Physician Clinic Medical DirectorSparks, NV$287,000–$310,000 / yearThis position is eligible to earn a base compensation rate in the state range of $287,000 to $310,000 annually PLUS a Director Stipend, depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team.
Medical Review Officer (MRO) - Bid MaximusMedical Review Officer (MRO) - BidReno, NVFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Medical Director - ENT CVS Health CorpMedical Director - ENTNV$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Review Nurse (RN) Molina Healthcare IncMedical Review Nurse (RN)Reno, NVReevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Medical Device & Diagnostics - CRA 2 - US Remote Fortrea IncMedical Device & Diagnostics - CRA 2 - US RemoteNVRemote$105,000–$117,000 / yearResponsibilities: Responsible for all aspects of study site monitoring including routine monitoring and close-out of clinical sites, maintenance of study files, conduct of pre-study and initiation visits; liaise with vendors; and other duties, as assigned -. Ensure the integrity of the data submitted on Case Report Forms (CRFs) or other data collection tools by careful source document Monitor data for missing or implausible data.
Sr. CRA, FSP - Cardiac / Medical Device - West Coast Fortrea IncSr. CRA, FSP - Cardiac / Medical Device - West CoastNV$130,000–$133,000 / yearEnsure the resources of the Sponsor and Fortrea are spent wisely by performing the required monitoring tasks in an efficient manner, according to SOPs and established guidelines, including managing travel expenses in an economical fashion according to Fortrea travel policy. Responsible for all aspects of study site monitoring including routine monitoring and closeout of clinical sites, maintenance of study files, conduct of pre-study and initiation visits; liaise with vendors; and other duties, as assigned.