Description

American Traveler is hiring an RN Case Manager for an acute care hospital role requiring an active AK RN license, Epic experience, and acute care case management background.

Details

• Acute hospital setting within the Case Management/Utilization Review department
• Magnet-designated, Level II Trauma facility with 407 staffed beds
• Day shift schedule, 4x10 or 5x8 hours with shift start times ranging from 0700-0800
• Required to work every other weekend or 4 weekend days in a 4-week schedule
• No on-call responsibilities
• Floating required within the hospital or to nearby affiliate hospitals as needed
• Uses Epic for charting

Requirements

• Active AK RN license required in hand
• Current BLS certification, ACM-RN certification preferred
• Minimum 2 years of acute care hospital experience required (hardstop requirement)
• Epic charting experience required
• Experience with case management duties including admission criteria review, care coordination, continued stay reviews, medical necessity determination, and discharge planning
• Familiarity with InterQual and Milliman guidelines preferred
• Knowledge of CMS, HIPAA, ICD-10 coding, and regulatory compliance standards
• 2 supervisory references covering at least 1 year of employment within the last 3 years required
• Hep B vaccination required (titers or declinations not accepted)

Additional Information

• Responsibilities include utilization review, prior authorization, pre-certification review, and workers' compensation case management
• Coordinates care across multiple specialties including Emergency Department, ICU, NICU, PICU, Pediatrics, and Women's Services
• Must be willing to work 2 of the 3 major holidays: Thanksgiving, Christmas, and New Year's
• Only 1 time-off request of 5 days or less permitted per 13-week assignment, with no holiday time off allowed
• Scrubs are provided and parking is free
• Candidates must live at least 50 miles from the facility to be eligible; local candidates are not accepted
• Former Providence permanent staff must be separated for a minimum of 3 months before returning as a traveler
• Travelers may work a maximum of 1 calendar year in this assignment before requiring a 6-month break to return
• First-time travelers are accepted