Travel Nurse RN - Case Management
Sitka, AK
Wellspring Nurse Source
5x8 hrs, Flexible

Job Description

The Inpatient Care Coordinator will manage the progression of patient care and ensure that evidence-based protocols are followed while promoting timely and appropriate patient discharges. This role involves collaboration with healthcare providers and teams to ensure quality assurance and cost-effective care delivery.

Key Responsibilities

• Review patient records and evaluate patient progress regularly.
• Monitor hospitalizations to assess the necessity, appropriateness of care, and length of stay.
• Perform Utilization Management functions for patients referred to outside facilities.
• Gather and review required medical reports and treatment plans for regulatory compliance.
• Validate physician orders and report any unusual occurrences related to patient care.
• Collaborate with clinical teams to develop personalized treatment plans based on patient assessments.
• Provide information to patients and families about healthcare benefits and services.
• Ensure documentation supports Utilization Management functions and communicate with payers as required.
• Process appeals for denial requests and respond to complaints following established guidelines.
• Facilitate educational programs to inform healthcare teams about regulations affecting care management.

Qualifications

• Bachelor's Degree in Nursing required.
• Active nursing license in Alaska required.
• 8 years of clinical care or nursing experience, including at least 3 years in chart review, risk management, or quality service.
• Case Management certification from a recognized organization is preferred.
• Proficient knowledge of medical terminology, anatomy, and regulations pertaining to care management.

Skills and Abilities

• Strong organizational and multitasking capabilities.
• Excellent written and verbal communication skills.
• Ability to collaborate effectively with healthcare providers, staff, and patients.
• Skills in assessing patient situations and implementing effective care strategies.

Other Information

This position does not involve supervisory responsibilities, and holiday coverage may be required. Additional duties may be assigned as necessary.