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Travel Nurse RN Med Surg Opportunity in Sitka, Alaska

2 months ago


Juneau, Alaska, United States Tact Staff Full time
Job Title: Registered Nurse - Nurse Care Coordinator

Tact Staff is seeking a skilled Registered Nurse to fill a Nurse Care Coordinator position in Sitka, Alaska.

Job Summary:

We are looking for a dedicated and compassionate Registered Nurse to join our team as a Nurse Care Coordinator. As a Nurse Care Coordinator, you will be responsible for managing patient progression of care, promoting evidenced-based protocols, and ensuring the appropriateness of interventions.

Key Responsibilities:
  • Reviews patients' records and evaluates patient progress.
  • Performs continuing review of the patient hospitalization to monitor the necessity for and appropriateness of hospitalization, length of stay, and quality of care.
  • Provides UM and review functions to the Purchased/Referred Care Services program for SEARHC beneficiary patients admitted to other facilities.
  • Obtains and reviews necessary medical reports and treatment plans as requested by regulatory agencies or payers.
  • Reviews and validates physician orders, reports progress and unusual occurrences on patients.
  • Collaborates with physicians, MEH leadership, and the clinical care team to ensure healthcare services are appropriate and cost-effective.
  • Reviews new hospital admissions to assess patient condition(s) and needs in order to develop personalized treatment plans.
  • Provides appropriate or required information to patients and/or their families regarding their healthcare benefits.
  • Reviews patient records and participates in interdisciplinary collaboration with professional staff.
  • Ensures maintenance of the Utilization Review Plan collaboration with the Utilization review staff Medical Director (or designated provider).
  • Facilitates educational programs and advises physicians and other departments of regulations affecting UM/CM/DCP.
  • Directs the coordination of patient care departments, ensuring treatment plans are based on the need of the patient and meet criteria approved by the hospital and any regulatory or payer requirements.
  • Ensures documentation supports the UM functions and communicates with payers within required timeframes.
  • Reviews information, communicates results to claims adjusters, and enters billing information appropriate.
  • Prepares information for notification letters providers, staff, and patients.
  • Received and processes request for appeal of denials.
  • Responds to complaints per UM review guidelines.
  • Maintains utilization review and appeal logs.
  • Supports clinical improvements activates of SEARHC by providing quality review.
  • Performs tumor registry functions for SEARHC.
Requirements:
  • Bachelor's Degree in Nursing.
  • Case Management certification by recognized certifying organization (i.e., NCQA, CCMC) preferred can obtain within 24 months of hire.
  • Active nursing license in Alaska or other U.S. state required.
  • 8 years' clinical care or nursing experience, 3 years of which should be in chart review, risk management, or related quality service.
About Tact Staff:

Tact Staff is a leading provider of travel nursing services, offering a wide range of opportunities for nurses to explore new destinations and gain enriching experiences. Our dedicated team of staffing consultants will work with you to find the perfect assignment, and our commitment to providing the most rewarding healthcare assignments and choices at premier healthcare institutions nationwide.

Join our team of skilled professionals and take the first step towards a fulfilling career as a Nurse Care Coordinator in Sitka, Alaska.