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Registered Nurse Case Manager

Company: Providence Health & Services
Location: Anchorage
Posted on: January 14, 2019

Job Description:

Providence is calling a Registered Nurse (RN) Case Manager to Case Management and Social Services to Providence Alaska Medical Center in Anchorage, Alaska. This is an on-call day shift position. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable. Under general supervision, this position uses Case Management Guiding Principles in partnering with patients and physicians to assure access, services, and transition for the continuum of care. They will work as team member with health care professionals, community resources, liaisons, and families to provide coordinated admission and discharge planning. In this position you will:* Perform integrated initial and concurrent review to identify medical necessity and utilization issues.* Apply admission, continued stay/transfer, and discharge criteria to each patient's case.* Interface with external review companies and consultants, using advocacy and negotiating skills that address medical necessity and appropriateness of inpatient/outpatient levels of care.* Advocate and support the case management process using the Patient-Centric Care Management Model as a guideline.* Partner with the healthcare team, community resources, liaisons, and families to provide timely coordinated admission and discharge planning that is appropriate based on patient needs.* Match patients with appropriate internal and external resources to meet their ongoing needs, and facilitates application(s) for programs and referrals for special needs.* Assist in management of resources with informational and monitoring tool(s) that support access, confidentiality, assessment, analysis of care and throughput, intervention, efficiencies, and quality of care. Required qualifications for this position include:* Graduate from accredited school of Nursing* All Registered Nurses without a Bachelor's of Nursing (BSN) degree or higher must obtain a BSN within 3 years of hire.* Current Registered Nurse (RN) licensure in the State of Alaska at time of hire* 2 years of clinical nursing experience* Able to read, write and speak English Preferred qualifications for this position include:* Bachelors of Science in Nursing (BSN) degree* 1 year of experience of Utilization Management-review and Discharge-planning experience* Knowledge of provider requirements for admissions, transfers, and discharges About Case Management Our dedicated team of Nurse Case Manager's and Social Work professionals work in close collaboration with healthcare team members and providers to assist neonates to geriatric patients and families in making decisions regarding continuity of care. Our team's scope of practice includes utilization review to determine medical necessity and level of care needs. About Providence Alaska Medical Center Providence Health & Services Alaska is among nation's best employers for healthy lifestyles! The National Business Group on Health, a non-profit association of large U.S. employers, has honored Providence Alaska for its commitment and dedication to promoting a healthy workplace and encouraging our caregivers (employees) and families to support and maintain healthy lifestyles. Mountain-Pacific Quality Health has awarded Providence Alaska Medical Center with its Quality Achievement Award for high-quality care in the areas of heart attack, heart failure, pneumonia and surgical infection prevention. This is the highest honor awarded by Mountain-Pacific. As the state's largest hospital, Providence Alaska Medical Center provides full-service, comprehensive care to all Alaskans, a role unmatched by any other in the state. Within our community, you will find top notch ski resorts, kayaking, and wildlife. Enjoying the outdoors is just one of many reasons to live in and explore Alaska!

Keywords: Providence Health & Services, Anchorage , Registered Nurse Case Manager, Executive , Anchorage, Alaska

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