RN - Patient Care Coordinator

AK - RN Inpatient Care Coordinator

City/State: Sitka, Alaska

Shift: 8 Hour Days, 08:00:00-16:00:00

Contract Length: 13 weeks

Start Date: 09/14/2026

Job Description:

Manages patient progression of care, promotes evidenced-based protocols, ensures the appropriateness of interventions, and expedites care delivery for patients admitted. Directs patient care services to ensure a timely and appropriate patient discharge.

Responsibilities:

• Reviews patients' records and evaluates patient progress.
• Performs continuing review of the patient hospitalization to monitor necessity and appropriateness.
• Provides review functions for the Purchased/Referred Care Services program for SEARHC beneficiary patients.
• Obtains and reviews medical reports and treatment plans as requested.
• Reviews and validates physician orders, reports progress and unusual occurrences.
• Collaborates with MEH leadership, clinical care team, and physicians to ensure healthcare services are cost-effective.
• Reviews new hospital admissions to develop personalized treatment plans.
• Provides required information to patients and/or their families regarding healthcare benefits.
• Ensures maintenance of the Utilization Review Plan in collaboration with the Utilization Review staff.
• Facilitates educational programs and advises physicians on regulations affecting UM/CM/DCP.
• Directs coordination of patient care departments based on patient needs.
• Communicates with payers within required timeframes.
• Prepares information for notification letters, processes requests for appeal of denials, and maintains review logs.
• Performs tumor registry functions for SEARHC and supports clinical improvements.

Requirements:

• Bachelor's Degree in Nursing required.
• Active nursing license in Alaska required.
• 8 years of clinical care or nursing experience, with 3 years in chart review, risk management, or related quality service.
• Knowledge of ICD-9 and CPT coding, and CMS regulations.
• Strong written, oral communication, and organizational skills.
• Ability to communicate and collaborate effectively.

Client Details Address 222 Tongass Ave City Sitka State AK Zip Code 99835