Travel Contract

Travel Nurse RN - Case Management
Sitka, Alaska
Mount Edgecumbe Hospital

$3,024-4,039/week

Posted 1 hour ago Verified

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Common job information

Certification details

Bachelor's Degree in Nursing
Case Management certification by recognized certifying organization (i.e., NCQA, CCMC) preferred but can be obtained within 24 months of hire.

Job details

MUST HAVE ACTIVE ALASKA LICENSE AT TIME OF SUBMISSION
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 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.

Job requirements

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. 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 communicate and collaborate effectively with providers, staff, and patients.

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LeaderStat

3.3rating(7 reviews)

$4,039/week

Hourly Rate (blended)$101

Stated hours40

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Facility

Mount Edgecumbe Hospital

4.7rating(7 reviews)

1 nurse recommends working with Mount Edgecumbe Hospital

5.0rating

Pros

Really great unit. Staff is really helpful and accepting of travelers. Currently a new hospital is being built that should be finished next year in 2025.

Cons

Cost of living is high, have to find your own housing though it didn’t take long. Not a lot of deliveries. Less than 100 a year.

Coral D

Labor and Delivery (RN)

Contract Position Jul '24

Review of Mount Edgecumbe Hospital on Sep 10, 2024

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DetailsVerification data is contributed by healthcare professionals like you, who leave reviews on Vivian.

Critical Access
25 beds
Oracle Cerner

ADDRESS222 Tongass DrSitka, AK 99835

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About Sitka, AK

As a Travel Nurse Case Manager in Sitka, AK here's what you should know:

Cost of Living

Sitka's cost of living is higher than the national average due to its remote location, with housing and groceries being particularly expensive.
Wages may not fully match up with the higher cost of living.

Weather

Average summer highs range from 57°F to 63°F, while winter lows range from 28°F to 35°F.

Furnished Housing

Short term rentals may be limited in Sitka due to its remote location, but options may be available through local real estate agencies or online platforms.

Transportation

Sitka is not very car-friendly, as the town is relatively small and walkable.
Public transportation options are limited, but biking and walking are popular due to the compact size of the town.

Demographics

Sitka has a diverse population with a mix of Native Alaskan, Caucasian, and Asian residents.
The age range is varied, with a significant portion of the population being middle-aged or older.
Common health issues may include seasonal affective disorder due to the long, dark winters.
Sitka has a small but active community of travel nurses.

Things to Do

Sitka offers a range of outdoor activities such as hiking, fishing, and wildlife viewing.
There are also local restaurants serving fresh seafood, art galleries showcasing Native Alaskan art, and occasional music and cultural events.

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