RN - Patient Care Coordinator

Mt. Edgecumbe Medical Center • Sitka, AK

5d • Onsite

About The Position

Manages patient progression of care, promotes evidenced-based protocols, ensures the appropriateness of interventions, and expedites care delivery for admitted patients. Directs patient care services to ensure a timely and appropriate patient discharge.

Requirements

• Bachelor's Degree in Nursing.
• Active nursing license in Alaska required.
• 8 years clinical care or nursing experience, with 3 years in chart review, risk management, or related quality service.
• Proficient in medical terminology, anatomy, physiology, and concepts of disease.
• Ability to communicate and collaborate effectively with providers, staff, and patients.

Responsibilities

• Reviews patients' records and evaluates patient progress.
• Performs continuing review of the patient hospitalization to monitor necessity 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.
• Collaborates with physicians, MEH leadership, and the clinical care team to ensure healthcare services are appropriate and cost-effective.
• Reviews new hospital admissions to assess patient condition(s) and needs in order to develop personalized treatment plans.
• Ensures maintenance of the Utilization Review Plan in 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.
• Maintains utilization review and appeal logs.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior