Registered Nurse

Join Our Team as a Registered Nurse – Case Management Pediatrics

We are seeking a dedicated and skilled Registered Nurse to join our dynamic Case Management Pediatrics team in Anchorage, AK. This is an exceptional opportunity for an experienced nurse to advance your career in a supportive environment, where your expertise in pediatric case management and acute hospital care will make a meaningful impact on patient outcomes.

Shift / Schedule

• Day shift, Monday through Friday
• 7:30 AM to 4:00 PM (5 days a week, 8-hour shifts)

Requirements

• Minimum of 2 years professional nursing experience
• Proficient in Epic charting system (required)
• Current Alaska RN License (required)
• ACM-RN Certification (required)
• BLS Certification (required)
• Familiarity with community hospital settings preferred
• Experience in Trauma Level II settings preferred
• Hands-on experience with case management and utilization review, including:
  • Admission Criteria (required)
  • Care coordination
  • Continued Stay Reviews
  • Determining Medical Necessity per Evidence-Based Guidelines
  • Needs Assessment and Ordering Durable Medical Equipment (DME)
  • Development of Plan of Care
  • Pre-Certification Review (required)
  • Prior Authorizations (required)
  • Use of InterQual Criteria (required)
  • Use of Milliman Guidelines (required)
  • Worker’s Compensation Case Management (required)
• Knowledge and compliance with regulatory requirements, including:
  • CMS (Centers for Medicare and Medicaid Services)
  • Department of Health (required)
  • HIPAA Guidelines
  • ICD-10 Coding (required)
  • The Joint Commission, Core Measures, National Patient Safety Goals (required)
• Acute hospital nursing experience in specialty areas, including:
  • Emergency Department (required)
  • Intensive Care Unit (required)
  • Medical-Surgical (required)
  • Women’s Services (required)
  • Experience in NICU, Pediatrics, and PICU a plus
• Travel experience is not required

Key Responsibilities

• Perform comprehensive case management and utilization review activities consistent with current standards and guidelines
• Coordinate care plans for pediatric patients, ensuring appropriate admission, continued stay, and discharge criteria are met
• Conduct needs assessments and order necessary durable medical equipment to ensure optimal patient support
• Obtain prior authorizations and pre-certifications efficiently in accordance with insurer and regulatory requirements
• Utilize InterQual and Milliman criteria to determine medical necessity and guide utilization decisions
• Document and communicate case management activities accurately using Epic electronic health records
• Maintain compliance with all relevant regulatory standards and participate in audits as required
• Serve as an advocate for pediatric patients and their families to coordinate care across multiple disciplines and settings
• Collaborate effectively with multidisciplinary healthcare teams in Emergency Department, ICU, Medical-Surgical, and Women’s Services to optimize patient care outcomes

Qualifications

• Current, unrestricted Alaska Registered Nurse License
• ACM-RN Certification required
• BLS certification up to date
• Minimum of 2 years nursing experience, with demonstrated expertise in case management and pediatric patient care
• Strong knowledge of hospital regulations, coding, and documentation standards
• Experience working within acute care hospital units including Emergency Department, ICU, Medical-Surgical, and Women’s Services
• Excellent interpersonal, communication, and organizational skills
• Detail-oriented with the ability to manage multiple priorities effectively

This position is offered through Quick2Hire staffing agency, providing you with a dedicated recruiter focused on your success and weekly paid compensation. Take advantage of this opportunity to elevate your nursing career while delivering exceptional care to patients and families in Anchorage.

Hourly Rate: $64.00 - $76.00

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.