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You will be updated with latest job alerts via email********************************************************* $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
Shift: Days Full Time
Specialty Type: Nursing
Sub Specialties: Care Manager
General Certifications: N/APlease CLICK HERE to view details.
Full-time