Description

American Traveler is seeking an experienced RN Inpatient Care Coordinator for a 13-week travel assignment in Alaska, requiring an active AK RN license and a minimum of 8 years of clinical nursing experience.

Details

• Inpatient care coordination role within a hospital setting
• Focused on utilization management (UM), case management (CM), and discharge care planning (DCP)
• Patient population includes admitted inpatients as well as SEARHC beneficiary patients referred to outside facilities
• Responsibilities span chart review, medical necessity review, length-of-stay monitoring, and discharge coordination
• Shift details to be discussed at interview

Requirements

• Active Alaska RN license currently in hand at time of consideration
• BSN required
• Minimum of 8 years of clinical care or nursing experience, including at least 3 years in chart review, risk management, or a related quality service role
• BLS/BCLS certification required
• Case Management certification from a recognized certifying organization (e.g., NCQA, CCMC) preferred
• Knowledge of medical necessity review, ICD-9/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 of hospitalization, validating physician orders, and ensuring timely and appropriate patient discharge
• Collaborates with physicians, leadership, and interdisciplinary clinical teams to ensure adherence to UM/CM/DCP plans
• Communicates with payers within required timeframes and manages appeal and denial processes
• Supports quality improvement initiatives and performs tumor registry functions
• No supervisory responsibilities
• Fingerprint card processing is required prior to start; candidates should be prepared to complete fingerprinting promptly upon acceptance to avoid delays
• This position does not have supervisory responsibilities