What are the responsibilities and job description for the RN Inpatient Care Coordinator/Risk Management-Days- 288140 position at Lighthouse?
RN - Inpatient Care Coordinator- **Job Summary Below
$93,000 - $117,000/year
$10K Sign On and $10K Relocation for qualified hire!
- Sitka, AK
- Permanent, Full-Time
- Days, Full Time, 40 hours per week
- Start Date ASAP
Education, Certifications, and Licenses Required
- Current full, unrestricted Registered Nursing license in Alaska or other U.S. state required. Bachelor’s preferred.
- Must have applied for an Alaska nursing license before start date.
- BLS.
- ACLS.
- PALS preferred.
- High school diploma or equivalent required.
- Clinical Competency required within 3 months of hire and every three years
- High Risk Competency required within 3 months of hire and every year
Experience Required
- 5 years clinical nursing experience
Knowledge of
- Medical record review, medical necessity/insurance guidelines, and regulatory compliance.
- 1 year experience with chart review, risk management, or related quality service preferred.
Key Essential Functions and Accountabilities of the Job
- Works collaboratively with consortium wide team supporting inpatient Care Coordination and Utilization Management
- Coordinate local CAH Swing Bed/Transitional Care program.
- Lead local CAH Inpatient interdisciplinary team meeting.
- Reviews all admissions to develop personalized treatment plans that are clinically appropriate, match the patients care needs and are consistent with patient choice and available resources while ensuring a timely and appropriate discharge.
- Collaborate with providers, leadership, and clinical support team to ensure treatment plan is based upon patient need and meets criteria approved by consortium and regulatory agencies/payors.
- Ensure ongoing documentation supports Utilization Management functions and communicate with payors appropriately.
- Provide appropriate information to educate patients/families regarding healthcare benefits and treatment plan.
- Assess patient to obtain relevant psycho-social information, make interventions and professional support referrals as needed.
- Develop and communicate discharge plan with the care team and patient/family, ensuring safe and well-coordinated transition of care.
- Support Peer Review process as part of consortium plan.
Job Type: Full-time
Pay: $93,000.00 - $117,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Shift:
- Day shift
Work Location: In person
Salary : $93,000 - $117,000
