Utilization Case Manager Jobs in Nevada (NOW HIRING)

Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE **UP TO 15K SIGN ON BONUS ELIGIBLE** THIS POSITION MAY CLOSE WITHOUT NOTICE ONCE A SUFFICIENT NUMBER OF QUALIFIED APPLICATIONS ARE RECEIVED. As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Nonprofit Level I Trauma Center, Verified Burn Center, and Multi-Organ Transplant Center.

In 2026, we became the FIRST and ONLY Magnet-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care. Position Summary: The Nurse Case Manager assists in providing a system of health care delivery at UMC which utilizes a coordinated, collaborative, multi-disciplinary approach to assess, plan, coordinate and evaluate the health care needs of patients throughout the health care continuum. The Nurse Case Manager serves as an advanced clinical resource to patients, families, staff and physicians in the delivery of care.

Job Requirement Education/Experience: Graduation from an accredited school of nursing. Minimum three (3) years of nursing experience in an acute care hospital setting, one (1) year of which was in Case Management, Discharge Planning, or Utilization Review. At the sole discretion of the Hospital, a Master's Degree in nursing with a concentration in case management may substitute for the experience requirement.

Licensing/Certification Requirements: Valid 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 Additional and/or Preferred Position Requirements: Minimum three (3) years of Case Management experience in an acute care setting.

Recent Documented experience in an acute care setting. Experience as a Case Manager in pediatrics is preferred. Recent documented Emergency Department experience a plus.

Recent documented Utilization Review experience a plus. Knowledge of MCG (Milliman). One or more of the following A PLUS.

Certified Case Manager (CCM) Accredited Case Manager (ACM) Membership in: The Commission of Case Management Certification (CCMC) Academy of Certified Case Managers (ACCM) American Case Management Association (ACMA) Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Principles of case management; 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; interpreting rules and regulations; interpreting and analyzing patient medical charts; 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. #LI-SS1.