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Case Manager RN - Kodiak Utilization Review *Part Time*

5002 Psvmc Neurovascular
Part-time
Remote
United States
Description

The Case Manager/RN Navigator is responsible for the comprehensive assessment, planning, implementation, and evaluation of individual patient needs for discharge planning, admission to swing bed and case management including utilization review in accordance with Providence philosophy, objectives, policies, procedures and standards. The Case Manager/RN Navigator partners with the Utilization Review nurse, patients, physicians, and interdisciplinary team to ensure authorization from third party payors secured; assure resource access and function as team member providing coordinated admission and discharge planning. Fosters change and teamwork to ensure constructive relationships and growth, while maintaining a positive and professional image when interacting with patients, their families, physicians, employees and general public.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Kodiak Alaska Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

This position can be a Remote work opportunity, if you reside within the State of Alaska!

Schedule is part time, 0.5 FTE, Day shift, Monday-Friday 8am-12pm in AKT zone, 4 hours per day; total 20 hours per week.

Apply today! Applicants that meet qualifications will receive an invite with additional screening questions from our HireVue system!

Required Qualifications:
  • Graduate of an accredited/approved school of Nursing
  • Associate's Degree in Nursing
  • Upon hire: Alaska Registered Nurse License
  • 3 years Clinical nursing experience
  • Prior experience with provider requirements for admissions transfers and discharges
  • Prior experience using Electronic Medical Records (EMR) such as EPIC
Preferred Qualifications:
  • Bachelor's Degree
  • 1 year experience as an RN in Utilization Management-review, Case Management and/or Discharge-planning
  • Experience with InterQual criteria, Medicare and Medicaid regulations
  • Prior experience using Microsoft Office Suite
Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

The Providence family of organizations has a vision of health for a better world. As such, we are called to care wisely for our communities, resources, and earth. Our organizations strive to become carbon negative by 2030.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons