Registered Nurse - Inpatient Care Coordinator (Days), Sitka, AK

• Will discuss at interview.
  
• Start Date: 9/14/2026
  
• Contract: 13 Weeks
  
• Location: Sitka, AK
  
• Hourly Pay: $ 59.00
  
• Non-taxed Stipend: $ 1246.00
  
• Weekly Total Pay: $ 3016.00
  
• EMR Used: Meditech
  
• Vaccine Requirement: Must have Flu Vaccine
  
• Traveler Policy: only accepts traveler profile applications from travelers that live at least 50+ miles away from the facility address they are working at.
  

Key Responsibilities:

• 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 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 leadership, clinical care team and physicians to ensure healthcare services are appropriate and cost-effective.
  
• Collaborates with physicians, 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 by providing quality review.
  
• Performs tumor registry functions .
  
• Other Functions
  
• Other duties as assigned.
  

Knowledge/Skills/Abilities:

• 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.
  
• Providing effective nursing care, assessing patient situations and taking effective courses of action.
  
• Strong written and oral communication skills.
  
• Strong organizational skills.
  
• Ability to communicate and collaborate effectively with providers, staff, and patients.
  

Compensation:

• Weekly Pay (hourly) + Non-taxed Stipend (if eligible)
  
• Pay package details provided upon offer
  

Requirements

Minimum Requirements:

• Must have 8 years’ clinical care or nursing experience, 3 years of which should be in chart review, risk management, or related quality service
  
• Case Management certification by recognized certifying organization (i.e., NCQA, CCMC) preferred.
  
• Must have active Alaska license at time of submittal
  
• Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association during employment
  
• Excellent communication skills. Ability to work independently.
  
• Strong organizational skills and ability to multitask
  
• Willingness to participate in continuing education and training programs
  
• Strong attention to detail and ability to work independently
  
• Strong communication, professionalism, and reliability
  

Compliance/Screening (Pre-Start):

• Drug screen and background check (facility required)
  
• Additional facility onboarding forms as assigned
  

Benefits

• Weekly pay
  
• Dedicated recruiter support
  
• Streamlined onboarding & compliance guidance
  
• Transparent pay packages
  
• Opportunities for extensions and future assignments
  

MED297923