Registered Nurse

Join Our Team as a Registered Nurse – Case Management RN in Anchorage, AK

We are seeking a dedicated and experienced Registered Nurse to join our Case Management team. This is an excellent opportunity for a healthcare professional who is passionate about coordinating quality patient care and thrives in an acute hospital setting. If you have the skills and certifications required to excel in case management and utilization review, we invite you to apply and become a valued member of our healthcare network.

Shift & Schedule

• Day Shift: Monday to Friday
• Hours: 7:30 AM to 4:00 PM (5 days, 8 hours each)

Requirements & Skills

• Minimum 2 years of nursing experience
• Proficient with Epic charting system
• Community hospital experience preferred
• LTAC experience preferred
• Trauma Level II experience preferred
• Certifications required:
  • ACM-RN certification
  • AK RN License
  • BLS certification
• Demonstrated ability in case management and utilization review including:
  • Admission Criteria
  • Care coordination
  • Continued stay reviews
  • Determining medical necessity using evidence-based guidelines
  • Needs assessment and durable medical equipment (DME) ordering
  • Plan of care development
  • Pre-Certification reviews
  • Prior authorizations
  • Utilizing InterQual criteria
  • Utilizing Milliman guidelines
  • Worker's compensation case management
• Regulatory knowledge including:
  • CMS (Centers for Medicare and Medicaid Services)
  • Department of Health requirements
  • HIPAA guidelines
  • ICD-10 coding
  • The Joint Commission/C-Core Measure/National Safety Goals
  • Workers Compensation regulations
• Acute hospital specialty experience in:
  • Emergency Department
  • Intensive Care Unit (ICU)
  • Medical-Surgical (MS)
  • Neonatal Intensive Care Unit (NICU)
  • Pediatrics
  • Pediatric Intensive Care Unit (PICU)
  • Women's Services
• Travel experience is not required

Key Responsibilities

• Provide comprehensive case management services within an acute hospital environment
• Evaluate patient admission criteria to ensure appropriate utilization of healthcare resources
• Coordinate care planning and collaborate with multidisciplinary teams to optimize patient outcomes
• Conduct continued stay reviews and determine medical necessity using established guidelines including InterQual and Milliman
• Manage prior authorization and pre-certification processes effectively
• Assess patient needs and coordinate ordering of durable medical equipment (DME) as appropriate
• Ensure compliance with CMS, Department of Health, HIPAA, Joint Commission, and Workers Compensation regulatory standards
• Maintain accurate and timely documentation within Epic and ensure adherence to ICD-10 coding standards
• Support worker’s compensation case management activities
• Engage in continuous quality improvement initiatives to meet or exceed hospital core measures and safety goals

Qualifications

• Active Alaska Registered Nurse (RN) license
• ACM-RN certification required
• Basic Life Support (BLS) certification required
• Minimum two years of relevant nursing case management experience in an acute hospital setting
• Strong knowledge of case management protocols, utilization review, and regulatory compliance
• Excellent communication, critical thinking, and organizational skills
• Ability to work collaboratively within a multidisciplinary healthcare team
• Proficiency with Epic electronic medical record (EMR) system

Compensation & Benefits

• Competitive hourly rate between $64.00 and $76.00
• Paid weekly through Quick2Hire staffing agency
• Access to a dedicated recruiter for ongoing support throughout your employment

If you are a committed Registered Nurse ready to advance your career in case management within a dynamic healthcare environment, we encourage you to apply today. This position offers the chance to make a significant impact on patient care while working a stable day schedule in beautiful Anchorage, AK.

This healthcare facility is a cornerstone of medical excellence in the region, offering a comprehensive range of services designed to meet the diverse needs of the community. With a focus on patient-centered care, the facility provides primary care, urgent care, and specialized services such as cardiopulmonary testing, diagnostic imaging, and a state-of-the-art birthing center. The facility's commitment to compassionate care is evident in its extensive behavioral health and chemical dependency programs, ensuring holistic support for patients. Additionally, the presence of the Otto Klein Cancer Center and a robust orthopedics department highlights its dedication to specialized and advanced medical treatments.

Located in the picturesque town of Polson, MT, the facility serves a vibrant community nestled along the shores of Flathead Lake. This location offers healthcare professionals the unique opportunity to work in a serene environment that balances professional growth with quality of life. The facility is part of a not-for-profit Catholic health care ministry, emphasizing its mission to provide accessible, high-quality care while fostering a supportive and inclusive work culture. With a commitment to innovation and community well-being, this healthcare facility is an ideal place for professionals seeking to make a meaningful impact while enjoying the natural beauty and recreational opportunities of Montana.