Care Manager

Looking for RN Inpatient Care Coordinator In

• Sitka, AK 99835
• Shift Information: Days, Full Time
• Salary: $93,000.00 to $117,000.00
• $10K Sign On and $10K Relocation for qualified hire!

Sub Specialty(s): Care Manager

Job Description:

*********************************************************$10K Sign On and $10K Relocation for qualified hire!************************************************************Key Essential Functions and Accountabilities of the Job

• Works collaboratively with consortium wide team supporting inpatient Care Coordination and Utilization Management
• Coordinate local CAH Swing Bed/Transitional Care program.
• Lead local CAH Inpatient interdisciplinary team meeting.
• Reviews all admissions to develop personalized treatment plans that are clinically appropriate, match the patients care needs and are consistent with patient choice and available resources while ensuring a timely and appropriate discharge.
• Collaborate with providers, leadership, and clinical support team to ensure treatment plan is based upon patient need and meets criteria approved by consortium and regulatory agencies/payors.
• Ensure ongoing documentation supports Utilization Management functions and communicate with payors appropriately.
• Provide appropriate information to educate patients/families regarding healthcare benefits and treatment plan.
• Assess patient to obtain relevant psycho-social information, make interventions and professional support referrals as needed.
• Develop and communicate discharge plan with the care team and patient/family, ensuring safe and well-coordinated transition of care.
• Support Peer Review process as part of consortium plan.

Education, Certifications, and Licenses Required

• Current full, unrestricted Registered Nursing license in Alaska or other U.S. state required. Bachelor’s preferred.
• Direct Hire must have applied for an Alaska nursing license before start date.
• Agency staff must have an active Alaska license.
• Case Management certification by recognized certifying organization within 24 months of hire.
• BLS.
• ACLS.
• PALS preferred.
• High school diploma or equivalent required.
• Clinical Competency required within 3 months of hire and every three years
• High Risk Competency required within 3 months of hire and every year

Experience Required

• 5 years clinical nursing experience
• 1 year experience with chart review, risk management, or related quality service preferred.

Knowledge of

• Medical record review, medical necessity/insurance guidelines, and regulatory compliance.

Skills in

• Communication, both verbal and written
• Strong organizational skills

Ability to

• Work collaboratively as part of an interdisciplinary team.
• Build relationships with colleagues, community partners, and consumers.

Physical Demands:

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; sit; use hands to finger, handle or feel and reach with hands and arms.
• The employee is occasionally required to climb or balance; stoop, kneel, crouch or crawl. The employee must lift and/or move 50 lbs.

Required Certifications:

Advanced Cardiovascular Life Support (ACLS) - American Heart Association, Basic Life Support (BLS) - American Heart Association, Case Manager Certification - Commission for Case Manager Certification, Clinical Competency Assessment - SEARHC, High Risk Competency - SEARHC, Registered Nurse License - State of Alaska - Alaska State Board of Nursing

Job Type: Full-time

Pay: $93,000.00 - $117,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Vision insurance

Ability to Commute:

• Sitka, AK 99835 (Required)

Ability to Relocate:

• Sitka, AK 99835: Relocate before starting work (Required)

Work Location: In person

Salary : $93,000 - $117,000