TravelNurseSource is working with Catalytic Solutions to find a qualified Case Manager RN in Sitka, Alaska, 99835!
**Join Our Team as an Inpatient Care Coordinator!**
**Job Description:**
- Must have an active Alaska nursing license at the time of submission.
- Experience:
- 8 years of clinical care or nursing experience.
- 3 years in chart review, risk management, or related quality service.
- Preferred:
- Case Management certification from a recognized organization (NCQA, CCMC).
**Responsibilities:**
- Manage patient progression of care and promote evidence-based protocols.
- Ensure appropriateness of interventions and expedite care delivery.
- Direct patient care services for timely and appropriate discharges.
- Review patients' records and evaluate patient progress continuously.
- Monitor necessity and appropriateness of hospitalization and length of stay.
- Provide Utilization Management (UM) and review functions for beneficiary patients.
- Collaborate with physicians and clinical teams to ensure effective and cost-efficient healthcare services.
- Develop personalized treatment plans based on new hospital admissions.
- Communicate healthcare benefits information to patients and families.
- Support the UM functions and maintain documentation for payers.
- Facilitate educational programs regarding regulations affecting UM/CM/DCP.
- Ensure treatment plans meet hospital and regulatory requirements.
**Requirements:**
- Bachelor’s Degree in Nursing.
- Strong knowledge of medical necessity, level of care, and insurance reimbursement.
- Proficiency in medical terminology, anatomy, physiology, and disease concepts.
- Strong written and oral communication skills.
- Ability to collaborate effectively with providers, staff, and patients.
**Why Catalytic Solutions (CatSol):**
At CatSol, we connect dedicated therapists with rewarding assignments across the country. Enjoy competitive pay, seamless onboarding, and a supportive recruiter who’s with you every step of the way. Join us — where your expertise makes a difference every day.