AK - RN Inpatient Care Coordinator - Sitka
InstantServe LLC
Care Manager
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 - our client Alaska - Alaska State Board of Nursing
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