Description

American Traveler is seeking an experienced RN Inpatient Care Coordinator with a minimum of 8 years of clinical experience and an active Alaska RN license for a 13-week travel contract.

Details

• Inpatient care coordination role within a hospital setting
• Sub-specialty area: Care Management / Utilization Management
• Caseload involves reviewing admissions, managing patient progression, and coordinating discharge planning
• Involves collaboration with physicians, clinical care teams, and leadership to ensure appropriate, cost-effective care
• Shift details to be discussed at interview
• 13-week contract

Requirements

• Active Alaska RN license required at time of consideration
• BSN required
• Minimum 8 years of clinical care or nursing experience, with at least 3 years in chart review, risk management, or a related quality service role
• BLS certification required
• Case Management certification from a recognized certifying organization (e.g., NCQA, CCMC) preferred
• Knowledge of medical necessity review, ICD-9 and CPT coding, and CMS regulations
• Proficiency in medical terminology, anatomy, physiology, and disease concepts
• Strong written, oral, and organizational communication skills
• Flu vaccine required
• DOB and SSN required for consideration

Additional Information

• Responsibilities include reviewing patient records, monitoring appropriateness and necessity of hospitalization, length of stay, and quality of care
• Coordinates with payers, processes appeal requests, and maintains utilization review and appeal logs
• Supports quality review activities including tumor registry functions
• Facilitates educational programs for physicians and departments on UM/CM regulations
• No supervisory responsibilities associated with this position
• Due to fingerprint processing requirements, candidates should be prepared to schedule and submit fingerprint cards promptly upon acceptance to avoid delays in start date
• This position does not have supervisory responsibilities