RN Case Manager (Hospice) - Part Time - Laughlin Harbor Healthcare SystemRN Case Manager (Hospice) - Part Time - LaughlinLas Vegas, NVThe RN-Case Manager is an integral part of the interdisciplinary care team and as such is responsible for admitting and coordinating appropriate care for each patient and family. We are currently seeking qualified candidates for a part time Registered Nurse (RN) Case Manager position in the Laughlin area.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadLas Vegas, NV$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Associate Operations Director - Las Vegas Humana IncAssociate Operations Director - Las VegasLas Vegas, NV$104,000–$143,000 / yearThe AOD develops and implements staffing plans, oversees change, ensures adherence to policies, and procedures, and collaborates with their clinical dyad partner to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/STARs, AHCA, optimal patient scheduling, financial management, patient engagement, recruiting/hiring, and employee and patient retention. Represent CenterWell/Conviva brands in community and media activities while collaborating with the recruitment team to build and network a pipeline of high-quality primary care clinicians (physicians, APPs, MAs, and other clinical professionals).
Network Contracting Director Millennium Physician GroupNetwork Contracting DirectorLas Vegas, NVThe Business Units which comprise Mosaic Health, including apree health, Millennium Physician Group, and CareMore Health, are multi-payer and serve nearly one million individuals across 19 states, providing them with access to high quality primary care, integrated care teams, personalized navigation, expanded digital access, and specialized services for higher-need populations. The Director partners closely with executive leadership, Finance, Clinical Operations, Provider Data Management, Legal, Local Leadership, Utilization Management, and Strategic Initiatives to advance CareMore's value-based care model.
MDS Coordinator RN CHARLESTONMDS Coordinator RNLas Vegas, NVFull timeDevelop and maintain a good working rapport with inter departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
NewContract Infusion Nurse LUX InfusionContract Infusion NurseLas Vegas, Nevada$30–$100 / hourWhile performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others.
RN Home Health Weekend Enhabit Home Health & HospiceRN Home Health WeekendLas Vegas, NevadaFull timeWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
Case Manager - Licensed RN Canyon Vista Post AcuteCase Manager - Licensed RNLas Vegas, NVFull timeGeneral Purpose Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.
Case Manager (RN) Prime Healthcare Services IncCase Manager (RN)North Las Vegas, NVRequired Qualifications: Minimum 5 years'' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license At least one year experience in case management, discharge planning or nursing management Experience and knowledge in basic to intermediate computer skills. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Respiratory Therapist Rotech Healthcare Inc.Respiratory TherapistLAS VEGAS, NVWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.
Associate Operations Director - Las Vegas CenterWellAssociate Operations Director - Las VegasLas Vegas, NevadaKEY RESPONSIBILITIES•Leadership & Operational/Organizational Management:•Proven experience in clinical operations and financial management, including P&L responsibilities.•Proficiency in monitoring and analyzing key performance indicators (KPIs) such as Membership, Retention, Patient Engagement, Access, Scheduling, Referral turnaround time, phone abandonment rates, PCP/voluntary alignment change forms, and more.•Monitor and manage data analytics, scorecards, cost & utilizations, HCC coding, and NPS Scores, focusing on patient satisfaction and performance improvement.•Supervision and management of operational staff and guiding them on performance expectations, managing daily schedules, and supporting organizational change management.•Engage in recruitment, development of internal leaders, and fostering continuous learning and improvement.•Ensure team of healthcare professionals are trained in the principles and practices of Value Based Care (VBC).•Responsible for contributing to leadership and financial discussions during monthly meetings with Market CAs and Regional AMD, utilizing exceptional presentation and facilitation skills to simplify complex information and engage audiences.•Demonstrates strong financial acumen and managing Profit & Loss (P&L) to connect strategy with business results•Collaborates with Community Engagement Professionals and Providers to develop and execute growth tactics within the center and community. Dyad Partnership:•Collaborate with the Associate Medical Director to achieve shared goals, ensuring consistent communication and unified decision-making.•Align on performance management, clinical and operational strategies, growth (sales and retention) tactics, and present a unified voice to respective teams.•Partner on operational budgeting and strategic planning, determining services, providers, and expected outcomes collaboratively.•Focus on utilization management and review provider schedules to meet patient access goals, with biannual reviews of incentive plans.•Monitor and communicate incentive and performance plans effectively.•Collaborate to manage performance/disciplinary issues, either within the clinical or operational team.•Ensure patient access across all centers overseeing balancing new patient access and acute needs for existing patients.
Physician Pain Management UnitedHealth Group IncPhysician Pain ManagementLas Vegas, NV$398,500–$667,500 / yearWorks cooperatively with: Physican Chief of Industrial and Preventive Medicine, other members of the Multi-disciplinary Pain Management Team, primary care physicans, referring specialty physicians, RN Clinical Director, Division Business Director and Support Services Supervisor. The department includes six urgent cares and seven retail clinics, offering a full spectrum of services, with on-site laboratory, radiology (which includes CT and ultrasound), observation unit and infusion center.
Nurse Disease Management I (US) Elevance Health IncNurse Disease Management I (US)Las Vegas, NV$70,560–$115,920 / yearThe Nurse Disease Management I is responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Director of Nursing, RN Canyon Vista Post AcuteDirector of Nursing, RNLas Vegas, NVFull timeThe Director of Nursing is responsible for supervising and managing the ADON, and entire nursing staff either directly or indirectly. Minimum requirements to perform this position include: Graduation from an Accredited School of Nursing with a Bachelor of Science Degree in Nursing, preferred (BSN).
MedTech Part Time Clinical Consultant â Las Vegas, NV IQVIA Holdings IncMedTech Part Time Clinical Consultant â Las Vegas, NVLas Vegas, NV3+ years' experience with a strong clinical background in the Cardiac ICU (CICU), Cardiovascular ICU (CVICU), Cardiovascular OR (CVOR), or Catheterization Lab (Cath Lab) required; CVICU experience highly preferred. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantLas Vegas, NVIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Regional Director of Health Services Sinceri Senior LivingRegional Director of Health ServicesHenderson, NevadaSinceri Senior Living is seeking a seasoned Regional Director of Health Services to lead clinical operations across a newly acquired region of six communities located in Farmington, NM; Clovis, NM; Fernley, NV; Mesquite, NV; Yuma, AZ; and Butte, MT. This is a high-impact role for an experienced clinical leader who thrives on travel, relationship building, and bringing consistency and clinical excellence to communities joining a new organization.
LICENSED PRACTICAL NURSE 2 State of NevadaLICENSED PRACTICAL NURSE 2Boulder City, NV$57,127.68–$84,021.12 / yearAdminister medications as prescribed by a physician or designee, ensuring route of administration; count controlled medications to ensure security; monitor patient for medication side effects and/or allergic reaction; observe patient to determine if medication is effective for prescribed treatment and document; if necessary, notify appropriate personnel of action taken. Assist in carrying out therapeutic procedures which provide for the emotional and physical comfort of patients; maintain safety, health and well-being of individuals in the therapeutic environment and as allowed in the practice setting; assist in physically restraining patients who are a threat to themselves or others and may be hostile and combative; follow facility procedures regarding techniques and duration of confinement; notify appropriate personnel of action taken and document as required.
NewSchool Nurse (Eastgate) Coral Academy of Science Las VegasSchool Nurse (Eastgate)Las Vegas, NVProvide direct nursing care to students and staff, including first aid, emergency care, and chronic condition management (e.g., diabetes, asthma, seizures). The School Nurse is responsible for promoting the health and safety of students and staff by providing health services, managing student health records, and implementing health-related policies.
Part-Time School Nurse (Nellis) Coral Academy of Science Las VegasPart-Time School Nurse (Nellis)Las Vegas, NVProvide direct nursing care to students and staff, including first aid, emergency care, and chronic condition management (e.g., diabetes, asthma, seizures). The School Nurse is responsible for promoting the health and safety of students and staff by providing health services, managing student health records, and implementing health-related policies.