Open Position: RN - Patient Care Coordinator Inpatient

Estimated Gross Weekly Pay: $3605.20

Opportunity:

RN - Case Management

Job Details:

* Active Alaska nursing license required at time of submission
* 8 years of 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 (i.e., NCQA, CCMC) preferred
* Must live at least 100 miles away from the facility address
* Manage patient progression of care and promote evidence-based protocols to ensure appropriateness of interventions
* Review patient records and evaluate patient progress throughout hospitalization
* 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
* Validate physician orders and report progress and unusual occurrences on patients
* Collaborate with physicians and clinical care teams to ensure healthcare services are appropriate and cost-effective
* Review new hospital admissions to assess patient conditions and develop personalized treatment plans
* Provide appropriate information to patients and families regarding healthcare benefits
* Facilitate educational programs and advise physicians on regulations affecting utilization management and case management
* Maintain utilization review and appeal logs and respond to complaints per review guidelines
* Perform tumor registry functions
* Strong knowledge of medical terminology, anatomy, physiology, and concepts of disease required
* Proficiency in ICD-9 and CPT coding required
* Strong written, oral communication, and organizational skills required

Facility:

This healthcare organization is a comprehensive health system serving patients across a wide geographic region, offering a broad range of clinical services including hospital care, utilization management, and case management. The facility supports interdisciplinary collaboration among physicians, nursing staff, and administrative teams to ensure high-quality, cost-effective patient care. The organization is committed to continuous clinical improvement and maintaining compliance with regulatory standards set forth by governing bodies such as the Centers for Medicare & Medicaid Services.

Location:

Juneau, AK

Juneau offers a truly unique living and working experience as Alaska's capital city, surrounded by breathtaking glaciers, mountains, and pristine wilderness that outdoor enthusiasts dream of exploring. The city combines a rich cultural heritage with stunning natural beauty, providing an unparalleled adventure for healthcare professionals looking to experience one of the most scenic and distinctive destinations in the United States.

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.