Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Case Manager / Utilization Review Navigator

Expired Job

Providence Health & Services Kodiak , AK 99615

Posted 3 months ago

Providence is calling a Case Manager/Registered Nurse (RN) Navigator to Providence Kodiak Island Medical Center in Kodiak, Alaska.

The Case Manager / Utilization Review Navigator is responsible for the comprehensive assessment, planning, implementation, and evaluation of individual patient needs for discharge planning, admission to swing bed and case management including utilization review in accordance with Providence philosophy, objectives, policies, procedures and standards.

In this position you will:

  • Assist in management of resources with informational and monitoring tool(s) that support access, confidentiality, and assessment, analysis of care and throughput, intervention, efficiencies, and quality of care.

  • Interface with external review companies and consultants, using advocacy and negotiating skills that address medical necessity and appropriateness of inpatient/outpatient levels of care.

  • Communicate with physicians at regular intervals throughout hospitalization and develop an effective working relationship to assist the physicians to maintain appropriate cost and desired patient outcomes.

  • Correlate organizational data on length of stay, avoidable days, denial days, readmissions, admission referrals, and RAC denials with Utilization reviewer reporting to Case Management Manager.

  • Demonstrate commitment to teamwork and interact harmoniously with others to ensure team success.

  • Ensure an effective purchasing process is maintained by requisitioning necessary products and supplies for personnel, determining necessary quality/quantity requirements, selecting suppliers according to current contracting, arranging for deliveries, following up on orders, dispensing of equipment and other items when necessary.

Required qualifications for this position include:

  • Graduate of an accredited/approved school of Nursing. Associates Degree in Nursing

  • Licensed as a Registered Nurse in the State of Alaska

  • Basic Life Support (BLS) certification within 90 days of hire

  • Current driver's license with a clean driving record and proof of current vehicle insurance

  • 3 years of clinical nursing experience

  • Compass training to be completed within 1 year from date of hire

Preferred qualifications for this position include:

  • Bachelor degree

  • Case Management certification

  • 1 year of experience as an RN in Utilization Management-review, Case Management and/or Discharge-planning experience

  • Experience with InterQual criteria, Medicare and Medicaid regulations

  • Prior experience using Electronic Medical Records (EMR) such as EPIC

  • Prior experience using Microsoft Office Suite

About Kodiak Island Medical Center

Providence Kodiak Island Medical Center (PKIMC) provides comprehensive health care to residents and visitors of Kodiak Island. This critical access hospital features 25 acute care beds, including four birthing suites, one OB triage room, and two ICU beds. In addition, the Elder House, PKIMC's long term care facility, has 22 beds.

PKIMC provides an extensive array of inpatient and outpatient services, including emergency department, surgery, laboratory services, maternity, general medicine, physical therapy, occupational therapy, respiratory therapy, sleep studies, specialty clinics, diagnostic imaging services and pharmacy and is staffed by a mix of primary care physicians, surgeons and specialists who provide family practice, internal medicine, obstetrics, radiology and general practice.

For more information regarding Providence Kodiak Island Medical Center, please click on the following link: http://providence-kodiakhealthcare.jobs/


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Office Manager I

H&R Block, Inc.

Posted Yesterday

VIEW JOBS 11/18/2018 12:00:00 AM 2019-02-16T00:00 Job Description Office Manager I Imagine if… * You could lead people within an organization that still values giving back and offers flexible schedules * You could make an impact in a measurable way, and that impact would be recognized and appreciated * You could invest your time working for six months of the year, leaving you free for the remainder of the year to pursue other interests If you're excited by this, then we are interested in learning more about you! The opportunity… H&R Block, the world's leader in tax preparation services,1 is looking for driven leaders to manage our retail offices, and the fabulous teams of people that work within them, to accelerate our seasonal tax business. Our positions will be filled as an Office Manager I, II, or III depending upon experience, and we also offer career progression to multi-unit office management positions and year-round roles to those with an interest and drive to grow! Leverage your leadership skills to: * Coach and lead the team to deliver outstanding client service and exceed targeted goals * Manage office staffing, operations, and logistics for a tax office * Grow the business through developing local partnerships, managing office community involvement, and modeling and coaching sales and new client growth tactics * Assist in the development and execution of office-level growth plans * Assist in recruiting and interviewing tax office associates * Become a knowledgeable resource on tax topics and products and, as needed, prepare accurate and complete tax returns for clients Minimum Qualifications What you'll bring to the team… * High School diploma or equivalent * Leadership and supervisory skills to guide and develop associates * A desire to problem solve and passion for customer service * Demonstrated aptitude for business plan execution and desire to grow the business * Strong communication, multi-tasking, and organizational skills * Successful completion of the H&R Block Tax Knowledge Assessment or Income Tax Course² * Annual completion of 18-hour continuing education and ability to meet all other IRS and applicable state requirements * 2+ years in a Tax Professional role is preferred * Bilingual Spanish speaking skills a big plus, but not required Apply today using any device at www.hrblock.com/careers > Tax Office JobsH&R Block is an equal opportunity employer. 1 Based on annual revenues for sales of tax preparation products and services. 2 Enrollment in, or completion of the H&R Block Income Tax Course is neither an offer nor a guarantee of employment H&R Block, Inc. Kodiak AK

Case Manager / Utilization Review Navigator

Expired Job

Providence Health & Services