Open Position: RN - Patient Care Coordinator Inpatient

Estimated Gross Weekly Pay: $3485.20

Opportunity:

RN - Case Management

Job Details:

* Active Alaska nursing license required at time of submission
* Minimum 3 years of recent inpatient care coordination and discharge planning experience required
* 8 years of total clinical care or nursing experience required, with 3 years in chart review, risk management, or related quality service
* Bachelor's Degree in Nursing required
* Case Management certification by a recognized certifying organization (NCQA, CCMC) preferred
* Manage patient progression of care, promote evidence-based protocols, and ensure appropriateness of interventions for admitted patients
* Direct patient care services to ensure timely and appropriate patient discharge
* Review patient records and evaluate patient progress through continuing review of hospitalizations
* Monitor necessity and appropriateness of hospitalization, length of stay, and quality of care
* Obtain and review medical reports and treatment plans as requested by regulatory agencies or payers
* Collaborate with physicians and clinical care team to ensure adherence to UM/CM/DCP plans
* Provide appropriate information to patients and families regarding healthcare benefits
* Facilitate educational programs and advise physicians and departments on regulations affecting UM/CM/DCP
* Ensure documentation supports utilization management functions and communicates with payers within required timeframes
* Process appeals of denials and respond to complaints per UM review guidelines
* Maintain utilization review and appeal logs
* Perform tumor registry functions
* Proficiency in medical terminology, anatomy, physiology, and concepts of disease required
* Knowledge of basic ICD-9 and CPT coding required
* Knowledge of Medicare and Medicaid regulations required
* Strong written, oral communication, and organizational skills required
* Must reside at least 100 miles away from the facility

Facility:

This healthcare organization operates as a comprehensive inpatient facility providing a wide range of medical services to its patient population. The facility maintains a dedicated utilization management and case management program to ensure appropriate and cost-effective healthcare delivery. The organization emphasizes interdisciplinary collaboration among clinical staff, physicians, and leadership to promote high-quality patient outcomes and adherence to regulatory standards.

Location:

Juneau, AK

Juneau offers a truly unique living experience as Alaska's capital city, surrounded by breathtaking glaciers, mountains, and lush rainforests that provide unparalleled opportunities for outdoor adventure. Healthcare professionals will find a vibrant community rich in culture and natural beauty, with access to world-class hiking, fishing, kayaking, and wildlife viewing right outside their door.

Equal Employment Opportunity Statement:

Noor Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

Physicial Requirements:

This position requires the ability to perform the essential functions of the role, which may include standing for extended periods, bending, reaching, and lifting up to 50 pounds on an occasional basis, with or without reasonable accommodation. Physicial demands may vary depending on assignment and client-site requirements.