Tact Staff is seeking a travel nurse RN Med Surg for a travel nursing job in Sitka, Alaska.
Job Description & RequirementsMUST HAVE ACTIVE ALASKA LICENSE AT TIME OF SUBMISSION MUST HAVE/OBTAIN FLU VACCINE General Description: Manages patient progression of care, promote evidenced-based protocols, ensure the appropriateness of interventions, and expedite care delivery for patients admitted. Directs patient care services to ensure a timely and appropriate patient discharge. Key Essential Functions and Accountabilities of the Job Reviews patients’ records and evaluates patient progress. Performs continuing review of the patient hospitalization to specifically monitor the necessity for and appropriateness of hospitalization, length of stay, and quality of care. Provides these UM and review functions to the Purchased/Referred Care Services program for SEARHC 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, reports progress and unusual occurrences on patients. Works with the MEH leadership, clinical care team and physicians to ensure healthcare services are appropriate and cost-effective. Collaborates with physicians, MEH leadership, and the clinical care team to ensure adherence to the UM/CM/DCP plan. Reviews new hospital admissions to assess patient condition(s) and needs in order to develop personalized treatment plans. Provides appropriate or required information to patients and/or their families regarding their healthcare benefits. Reviews patient records and participate in interdisciplinary collaboration with professional staff. Ensures maintenance of the Utilization Review Plan collaboration with the Utilization review staff Medical Director (or designated provider). Facilitates educational programs and advises physicians and other departments of regulations affecting UM/CM/DCP. Directs the coordination of patient care departments, ensuring treatment plans are based on the need of the patient and meet criteria approved by the hospital and any regulatory or payer requirements. Ensures documentation supports the UM functions and communicates with payers within required timeframes. Reviews information, communicates results to claims adjusters, and enters billing information appropriate. Prepares information for notification letters providers, staff, and patients. Received and processes request for appeal of denials. Responds to complaints per UM review guidelines. Maintains utilization review and appeal logs. Supports clinical improvements activates of SEARHC by providing quality review. Performs tumor registry functions for SEARHC. Other duties as assigned. Education, Certifications, and Licenses Required · Bachelor’s Degree in Nursing · Case Management certification by recognized certifying organization (i.e., NCQA, CCMC) preferred can obtain within 24 months of hire. · Active nursing license in Alaska or other U.S. state required. o Agency staff must have an active Alaska license. High school diploma or equivalent required. 8 years’ clinical care or nursing experience, 3 years of which should be in chart review, risk management, or related quality service Knowledge of: Conducting and reviewing medical records for medical necessity, level of care, and public and private insurance reimbursement. Basic ICD-9 and CPT coding. Regulations as set forth by The Centers for Medicare Medicaid Services. Proficient in medical terminology, anatomy, physiology, and concepts of disease. Skills in: Providing effective nursing care, assessing patient situations and taking effective courses of action. Strong written and oral communication skills. Strong organizational skills. Ability to: Ability to communicate and collaborate effectively with providers, staff, and patients.
Tact Medical Staffing Job ID #480699. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse - Nurse Care Coordinator
About Tact StaffOur nurses choose Tact assignments because it provides the opportunity to take on new challenges in their careers while they travel across the United States and gain enriching experiences on a professional and personal level.
Our dedicated team of staffing consultants will work with you and be your advocate as you choose to embark on new assignments. Our team is committed to providing our nurses with the most rewarding healthcare assignments and choices at primer healthcare institutions nationwide. Let us handle the details; you choose the job and location that are right for you.
Be Adventurous, Make a Difference , Travel with Tact.
Be Adventurous - Becoming a travel nurse is not only a professional adventure, but a personal adventure as well. It is an opportunity to challenge yourelf, to explore a new place, and try amazing food...
Make a Difference - Nurses make such a huge difference in so many lives. The care and compassion you show to your patients, does not go unoticed. We know how important your jobs is, which is why we take our job as recruiters so seriously. Being able to place nurses in hospitals, where you are doing something as crucial as saving lives, is something we feel thankful to be able to do.
Travel with Tact - From the moment we receive your resume we begin trying to build a relationship with you. We know the importance of becoming your friend, before becoming your recruiter. Building friendly, yet professional relationships allows us to discover what you truly want... and don't want in a travel assignment.
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