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Hospitality
Travel / Tour Guide
Sitka, AK
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1 Description American Traveler is seeking an experienced RN Inpatient Care Coordinator with an active Alaska RN license and a minimum of 8 years of clinical nursing experience for a 13-week travel assignment. Details Inpatient care coordination role within a hospital setting Subspecialty in Care Management/Utilization Management Manages patient progression of care, discharge planning, and utilization review for admitted patients Shift schedule to be discussed at interview Requirements Active Alaska RN license required at time of consideration BSN required Minimum 8 years of clinical care or nursing experience, with at least 3 years in chart review, risk management, or related quality services Current
BLS/BCLS
certification required Case Management certification from a recognized certifying organization (e.g., NCQA, CCMC) preferred Knowledge of medical necessity review, level of care determination, and public/private insurance reimbursement Familiarity with basic ICD-9 and CPT coding Knowledge of CMS regulations Proficiency in medical terminology, anatomy, physiology, and disease concepts Strong written, oral, and organizational communication skills Flu vaccine required DOB and SSN may be required for consideration Additional Information Reviews patient records and evaluates patient progress to monitor necessity and appropriateness of hospitalization, length of stay, and quality of care Collaborates with physicians and clinical care teams to ensure adherence to utilization management, case management, and discharge care planning Provides utilization management review functions for beneficiary patients admitted to other facilities through the Purchased/Referred Care Services program Coordinates with payers, reviews and validates physician orders, and ensures documentation supports required UM functions within required timeframes Facilitates educational programs and advises staff on regulations affecting utilization and case management Performs tumor registry functions and supports quality improvement activities This position has no supervisory responsibilities Fingerprint card processing is required prior to the start date — candidates should be prepared to submit fingerprint cards promptly upon acceptance to avoid delays Local candidates are accepted for this position