Clinical Manager - Case Management (RN) - "Urgent Need"

Clinical Manager – Care (Case) Management
Job Type: Full Time
Location: Las Vegas, NV
Salary: $54,000 – $84,000 Annually (DOE)

Position Summary

Leads care management operations, ensuring effective care coordination, utilization management, regulatory compliance, and improved patient outcomes.

Responsibilities

• Supervise care management staff and daily operations.
• Oversee care coordination, utilization reviews, authorizations, denials, and appeals.
• Review clinical records and ensure appropriate care delivery.
• Collaborate with healthcare teams, providers, and payers.
• Maintain compliance with healthcare standards and policies.

Qualifications

• RN license and BLS certification.
• Graduate of an accredited nursing program.
• 5+ years of clinical nursing experience.
• 2+ years of supervisory/management experience.
• Preferred: BSN, acute care experience, case management leadership experience, CCM/ACM certification.

Skills

• Care management and utilization review.
• Clinical assessment and documentation review.
• Leadership, communication, and team collaboration.
   

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.