Travel RN - Leadership - Nurse Manager

American Traveler is seeking an experienced RN Inpatient Care Coordinator with a minimum of 8 years of clinical experience and an active Alaska RN license for a 13-week travel contract.Job Details• Inpatient care coordination role within a hospital setting,• Sub-specialty area: Care Management / Utilization Management,• Caseload involves reviewing admissions, managing patient progression, and coordinating discharge planning,• Involves collaboration with physicians, clinical care teams, and leadership to ensure appropriate, cost-effective care,• Shift details to be discussed at interview,• 13-week contract,Job Requirements• Active Alaska RN license required at time of consideration,• BSN required,• Minimum 8 years of clinical care or nursing experience, with at least 3 years in chart review, risk management, or a related quality service role,• BLS certification required,• Case Management certification from a recognized certifying organization (e.g., NCQA, CCMC) preferred,• Knowledge of medical necessity review, ICD-9 and CPT coding, and CMS regulations,• Proficiency in medical terminology, anatomy, physiology, and disease concepts,• Strong written, oral, and organizational communication skills,• Flu vaccine required,• DOB and SSN required for consideration,Additional Information• Responsibilities include reviewing patient records, monitoring appropriateness and necessity of hospitalization, length of stay, and quality of care,• Coordinates with payers, processes appeal requests, and maintains utilization review and appeal logs,• Supports quality review activities including tumor registry functions,• Facilitates educational programs for physicians and departments on UM/CM regulations,• No supervisory responsibilities associated with this position,• Due to fingerprint processing requirements, candidates should be prepared to schedule and submit fingerprint cards promptly upon acceptance to avoid delays in start date,