AK - RN Inpatient Care Coordinator - Sitka

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