Regional Claims Manager jobs in Twin Falls, ID

Northeastern Nevada Regional Hospital – Case Manager (Part-Time Benefit Eligible)

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Northeastern Nevada Regional Hospital is a 75-bed facility located in Elko, Nevada.   We offer a wide range of healthcare services, including emergency medicine, heart care, maternity care, sleep medicine, surgical services, and more.   We are recognized by the American College of Cardiology as an accredited Chest Pain Center.   We believe that health care should be effective, safer, and more available to all people.  We are committed to providing our patients with the highest quality, family-friendly care available.

Where We Are:

Elko is the largest city of Elko County, Nevada.  Located near the Lamoille Canyon and the Ruby Mountains, Elko is called the Swiss Alps of Nevada.  Here you’ll find year-round access to recreation and more than 20 alpine lakes.   The city’s economy is heavy with gold mining, ranching, tourism, and casinos.  The entertainment capital of the world, Las Vegas, Nevada is located approx. six hours away.  With us is where you want to be.

Why Choose Us:

·        Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

·        Competitive Paid Time Off / Extended Illness Bank package for full-time employees

·        Employee Assistance Program – mental, physical, and financial wellness assistance

·        Tuition Reimbursement/Assistance for qualified applicants

·        Professional Development and Growth Opportunities

·        And much more…

Position Summary: Northeastern Nevada Regional Hospital is looking for a healthcare professional join our Case Management Team. This position is a part-time benefit eligible position. Predominantly working days, eight hour-shifts including rotating weekends and rotating holidays.  Subject to change according to the needs of the business.

The Case Manager facilitates clinically appropriate and fiscally responsible patient care through communication with the treating physician and all other members of the healthcare team, while working in close cooperation with hospital management. The Case Manager assesses and identifies the patient's physical and psychosocial needs and determines, in conjunction with established protocols and input from the treating physician, the health care services and venue of care appropriate for the patient. The Case Manager manages the patient's treatment prospectively through the admission process, concurrently through on-going case management while the patient is an inpatient in one or more venues of care and retrospectively through review of individual cases and identification of trends and patterns.

Minimum Qualifications:

License/Education:  Licenses/Education: Nevada RN license, or NV LPN license, or Degree in Healthcare.

Experience:  Three years’ experience in general nursing (RN/LPN) or community healthcare setting with relatable experience in case management.  Basic knowledge about health care systems, social services, and community agencies. 

Licensing Requirements:  American Heart Association Certification in BLS within 90-days upon hire.

EEOC Statement:

Northeastern Nevada Regional Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.