Nurse Case Reviewer Jobs (NOW HIRING)

Job Summary

We are seeking an experienced Registered Nurse Case Manager for a 13-week travel assignment in Juneau, Alaska.

This role is ideal for an RN with recent hospital case management experience who is skilled in care coordination, discharge planning, utilization review, and interdisciplinary collaboration.

Candidates must have an active Alaska RN license and recent case management experience within the past 2 years.

Key Responsibilities

        Coordinate patient care throughout the hospital stay and transition to the appropriate next level of care.

        Develop and manage individualized discharge plans based on patient needs.

        Collaborate with physicians, nurses, social workers, rehabilitation teams, and other healthcare professionals.

        Assess clinical, psychosocial, financial, and discharge planning needs.

        Identify barriers to discharge and work proactively to resolve them.

        Coordinate post-acute services such as skilled nursing, home health, rehabilitation, durable medical equipment, and outpatient follow-up.

        Communicate with patients and families regarding care plans and discharge expectations.

        Support safe and timely transitions of care.

        Participate in interdisciplinary rounds and care conferences.

        Review patient progress and update care plans as needed.

        Assist with utilization management and medical necessity review as appropriate.

        Coordinate with insurance providers, payers, and external agencies when required.

        Maintain accurate and timely clinical documentation.

        Support compliance with hospital policies, regulatory requirements, and case management standards.

        Advocate for patient needs while promoting appropriate use of healthcare resources.

Required Qualifications

Candidates must have:

        Active and unrestricted Alaska Registered Nurse (RN) license

        Associate Degree in Nursing from an accredited program

        Current BLS certification

        Recent RN Case Management experience within the past 2 years

        Experience working in an acute-care hospital setting

        Strong discharge planning and care coordination skills

        Excellent communication and organizational skills

        Ability to manage multiple patients and competing priorities

        Strong interdisciplinary collaboration skills

Preferred Qualifications

Strong candidates may also have:

        Bachelor of Science in Nursing (BSN)

        Previous travel nursing experience

        Utilization review experience

        Experience with complex discharge planning

        Experience coordinating post-acute services

        Knowledge of Medicare, Medicaid, and commercial insurance processes

        Familiarity with case management software and electronic health records

        Certification in Case Management, such as CCM or ACM

Key Skills

Successful candidates should be comfortable with:

        RN case management

        Care coordination

        Discharge planning

        Utilization review

        Interdisciplinary rounds

        Patient and family education

        Post-acute care coordination

        Insurance and payer communication

        Resource utilization

        Clinical documentation

        Transition-of-care planning

        Problem solving

        Patient advocacy

Schedule Requirements

        Day Shift

        Five 8-hour shifts per week

        40 hours per week

        Exact shift times may vary based on department needs.

Additional Requirements

        Flu vaccination is required unless an approved exemption applies under facility policy.

        Candidates must maintain all required licensure and certifications throughout the assignment.

Ideal Candidate

The ideal candidate is an experienced RN Case Manager who can independently coordinate care, manage discharge planning, and work effectively with patients, families, physicians, and interdisciplinary teams.

This opportunity may be a strong fit for professionals currently working as an:

        RN Case Manager

        Nurse Case Manager

        Hospital Case Manager

        Care Coordinator RN

        Utilization Review RN

        Discharge Planning RN

        Clinical Case Manager

Equal Opportunity

We are an equal opportunity employer and consider qualified applicants based on experience, education, licensure, certifications, clinical skills, and the requirements of the position.