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

We are currently seeking a dedicated and experienced Registered Nurse to join our Case Management team. This is an exciting opportunity for a healthcare professional who is passionate about coordinating patient care, ensuring medical necessity, and navigating complex regulatory requirements. If you have a minimum of 2 years of nursing experience and thrive in an acute hospital environment, we invite you to apply for this rewarding position. Enjoy competitive hourly pay, a supportive staffing agency partnership, and the chance to make a real difference in patient outcomes.

Schedule

• Day Shift: 7:30 AM – 4:00 PM
• Workweek: 5 days per week, 8-hour shifts

Requirements

• Minimum 2 years of nursing experience
• Proficient in Epic charting system (required)
• Certified Case Manager for Registered Nurses (ACM-RN) (required)
• Alaska RN License (required)
• Basic Life Support (BLS) certification (required)
• Experience in acute hospital settings, including Emergency Department, NICU, Pediatrics, PICU, and Women’s Services (required)
• Familiarity with case management and utilization review processes
• Knowledge and compliance with regulatory standards including CMS, Department of Health, HIPAA, ICD-10 coding, The Joint Commission, and Workers Compensation
• Proficient in InterQual and Milliman guidelines for medical necessity determinations (required)
• Experience with admission criteria, pre-certification and prior authorization reviews (required)
• Preferred: Experience in Community Hospital, LTAC, and Level II Trauma settings
• Travel experience: Not required

Key Responsibilities

• Coordinate care by working collaboratively with multidisciplinary teams to develop and implement plans of care
• Perform thorough needs assessments and assist in ordering Durable Medical Equipment (DME) as indicated
• Conduct continued stay reviews, ensuring adherence to evidence-based guidelines to determine medical necessity
• Complete pre-certification reviews and prior authorization processes efficiently and accurately
• Apply InterQual and Milliman guidelines consistently to maintain compliance with clinical criteria
• Manage workers’ compensation case assignments in accordance with organizational policies and legal requirements
• Maintain accurate and timely charting utilizing the Epic system, ensuring documentation meets regulatory standards including ICD-10 coding
• Ensure all activities comply with CMS, Department of Health, HIPAA privacy regulations, The Joint Commission Core Measures, and National Patient Safety Goals
• Provide education and guidance to patients and families, facilitating smooth transitions across the care continuum

Qualifications

• Current Alaska Registered Nurse license and ACM-RN certification
• Minimum of two years in a nursing role within acute care settings
• Strong knowledge of case management principles and utilization review standards
• Demonstrated experience with regulatory requirements and quality measures in healthcare
• Excellent communication, organizational, and critical thinking skills
• Ability to work independently and as part of a team to manage complex patient cases
• Proficiency in Epic electronic medical record system
• Current BLS certification

Compensation & Benefits

The position offers an hourly rate ranging from $64.00 to $76.00, paid weekly. This opportunity is available through Quick2Hire staffing agency, where you will have a dedicated recruiter to support your career journey and employment needs.

If you are ready to advance your nursing career and contribute to patient-centered care in Anchorage, AK, apply today and take the next step with Quick2Hire!

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.