Registered Nurse

Join Our Team as a Registered Nurse – Case Management RN in Anchorage, AK

We are actively seeking a dedicated and skilled Registered Nurse to join our dynamic Case Management team in Anchorage, AK. This is an exciting opportunity for healthcare professionals passionate about delivering exceptional patient-centered care and driving efficient case coordination in an acute hospital setting. If you possess strong clinical judgment with expertise in utilization review and care coordination, we want to hear from you!

Shift & Schedule

• Day Shift: 5 days a week, 8 hours per day
• Shift Hours: 7:30 AM – 4:00 PM

Requirements & Skills

• Minimum 2 years of Registered Nursing experience
• Proficient in Epic charting system (required)
• ACM-RN certification (required)
• Active Alaska RN license
• BLS certification (required)
• Prefer experience in Community Hospital and LTAC settings
• Prefer Trauma Level II experience
• Strong knowledge in case management and utilization review, including:
  • Admission Criteria (required)
  • Care coordination and plan of care development
  • Continued stay reviews and needs assessment
  • Ordering durable medical equipment (DME)
  • Pre-certification reviews (required)
  • Prior authorizations (required)
  • Use of InterQual and Milliman Guidelines (required)
  • Worker’s compensation case management (required)
• Compliance with key regulatory frameworks:
  • CMS (Centers for Medicare and Medicaid Services)
  • Department of Health regulations (required)
  • HIPAA guidelines
  • ICD-10 coding (required)
  • The Joint Commission/Core Measures/National Patient Safety Goals (required)
  • Workers Compensation (required)
• Acute hospital experience in specialties including:
  • Emergency Department (required)
  • Intensive Care Unit (ICU)
  • Medical-Surgical Unit (MS)
  • Neonatal Intensive Care Unit (NICU) (required)
  • Pediatrics (required)
  • Pediatric Intensive Care Unit (PICU) (required)
  • Women’s Services (required)
• No travel required for this position

Key Responsibilities

• Conduct thorough case management and utilization review assessments to ensure quality care delivery and compliance with admission criteria
• Coordinate care plans collaboratively with interdisciplinary teams and patients to optimize clinical outcomes and resource utilization
• Perform continued stay reviews and determine medical necessity based on evidence-based guidelines
• Manage prior authorizations, pre-certification reviews, and utilization of standard criteria such as InterQual and Milliman Guidelines
• Facilitate durable medical equipment orders and other patient needs assessments
• Ensure full compliance with regulatory requirements including CMS, Department of Health, ICD-10 coding, and Joint Commission standards
• Document all case management activities accurately using Epic charting system
• Provide worker’s compensation case management support in accordance with guidelines

Qualifications

• Current Alaska RN license with ACM-RN certification
• BLS certification from an accredited organization
• Minimum of 2 years’ clinical nursing experience, preferably within acute care and case management environments
• Demonstrated proficiency in Epic electronic health record system
• Strong knowledge of clinical guidelines and regulatory requirements relevant to case management and utilization review
• Excellent analytical, communication, and interdisciplinary collaboration skills
• Ability to prioritize and manage multiple responsibilities in a fast-paced, patient-focused environment

Compensation & Additional Information

The position offers a competitive hourly rate ranging from $64.00 to $76.00, commensurate with experience and qualifications. This opportunity is available through Quick2Hire staffing agency, providing you with a dedicated recruiter for personalized support and the benefit of weekly pay.

If you are ready to leverage your nursing expertise in case management and contribute to patient-centered care excellence, apply today and join a supportive team committed to professional growth and quality outcomes!

This healthcare facility is a cornerstone of medical excellence in the region, offering a comprehensive range of services designed to meet the diverse needs of the community. With a focus on patient-centered care, the facility provides primary care, urgent care, and specialized services such as cardiopulmonary testing, diagnostic imaging, and a state-of-the-art birthing center. The facility's commitment to compassionate care is evident in its extensive behavioral health and chemical dependency programs, ensuring holistic support for patients. Additionally, the presence of the Otto Klein Cancer Center and a robust orthopedics department highlights its dedication to specialized and advanced medical treatments.

Located in the picturesque town of Polson, MT, the facility serves a vibrant community nestled along the shores of Flathead Lake. This location offers healthcare professionals the unique opportunity to work in a serene environment that balances professional growth with quality of life. The facility is part of a not-for-profit Catholic health care ministry, emphasizing its mission to provide accessible, high-quality care while fostering a supportive and inclusive work culture. With a commitment to innovation and community well-being, this healthcare facility is an ideal place for professionals seeking to make a meaningful impact while enjoying the natural beauty and recreational opportunities of Montana.