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Mt. Edgecumbe Medical Center Ms

29 jobs near Columbus, OH

Mt. Edgecumbe Medical Center - MS

MS Ortho

Sitka, AK · On-site

Registered Nurse - Operating Room The Registered Nurse (RN) provides professional nursing care across the lifespan in accordance with organizational standards, policies, and evidence-based practice.

Mt. Edgecumbe Medical Center - MS

RN - MS

Sitka, AK · On-site

Registered Nurse The Registered Nurse provides professional nursing care across the lifespan in accordance with organizational standards, policies, and evidence-based practice. The RN utilizes the ...

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AK - RN Inpatient Care Coordinator - Rate $118

Mt. Edgecumbe Medical Center - MS

Sitka, AK • On-site

$118/hr

Other

Posted 17 days ago

Job description

Details
Client Name
Mt. Edgecumbe Medical Center - MS
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Care Coordinator
Job ID
35536338
Job Title
AK - RN Inpatient Care Coordinator - Rate $118
Weekly Pay
$3354.0
Shift Details
Shift
Day - 8x5 - 09AM
Scheduled Hours
40
Job Order Details
Start Date
10/05/2026
End Date
01/04/2027
Duration
13 Week(s)
Job Description
Job Title: Care Manager
Profession: Nursing
Specialty: Care Manager
Duration: 13 weeks
Shift: Will discuss at interview
Hours per Shift: 40
Experience: Minimum 8 years clinical care or nursing experience, including 3 years in chart review, risk management, or related quality service
License: Active nursing license required
Certifications: Case Management certification preferred
Must-Have:
Active nursing license
Flu vaccine required
Description:
Must have active license at the time of submission.
Experience required includes 8 years of clinical care or nursing experience, with 3 years specifically in chart review, risk management, or related quality services.
Preferred qualifications include Case Management certification by a recognized certifying organization.
Manages patient progression of care and promotes evidence-based protocols.
Ensures the appropriateness of interventions and expedites care delivery for admitted patients.
Directs patient care services to ensure timely and appropriate patient discharge.
Reviews patients' records and evaluates patient progress.
Performs continuing reviews of hospitalizations to monitor necessity and appropriateness of care.
Provides utilization management and review functions for beneficiary patients admitted to other facilities.
Obtains and reviews necessary medical reports and treatment plans as requested by regulatory agencies or payers.
Reviews and validates physician orders and reports progress and unusual occurrences in patients.
Works with leadership, clinical care teams, and physicians to ensure healthcare services are appropriate and cost-effective.
Collaborates with physicians and clinical care teams to ensure adherence to utilization management, case management, and discharge planning.
Reviews new hospital admissions to assess patient conditions and needs to develop personalized treatment plans.
Provides appropriate information to patients and their families regarding healthcare benefits.
Participates in interdisciplinary collaboration with professional staff.
Ensures maintenance of the utilization review plan in collaboration with designated providers.
Facilitates educational programs and advises on regulations affecting utilization management and case management.
Directs the coordination of patient care departments to ensure treatment plans meet patient needs and criteria approved by regulatory or payer requirements.
Ensures documentation supports utilization management functions and communicates with payers within required timeframes.
Reviews information and communicates results to claims adjusters.
Prepares information for notification letters to providers and staff.
Processes requests for appeal of denials.
Responds to complaints per utilization management review guidelines.
Maintains utilization review and appeal logs.
Supports clinical improvement activities by providing quality review.
Performs additional duties as assigned.
This position does not require supervisory responsibilities.
Education requirement includes a Bachelor's Degree in Nursing.
Knowledge of conducting medical record reviews for medical necessity and compliance.
Proficient in medical terminology, anatomy, physiology, and concepts of disease.
Strong organizational skills and the ability to communicate effectively with providers, staff, and patients are essential.
Client Details
Address
222 Tongass Dr
City
Sitka
State
AK
Zip Code
99835
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