3 Inpatient Care Coordinator Jobs in Sitka, AK
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ICONMA, LLC. is Hiring an Inpatient Care Coordinator Near Sitka, AK
Duration: 13 Weeks
Shift Information: Will discuss at interview.
Description Description: General Description: Manages patient progression of care, promote evidenced-based protocols, ensure the appropriateness of interventions, and expedite care delivery for patients admitted.
Directs patient care services to ensure a timely and appropriate patient discharge.
Key Essential Functions And Accountabilities Of The JobReviews patients records and evaluates patient progress.
Performs continuing review of the patient hospitalization to specifically monitor the necessity for and appropriateness of hospitalization, length of stay, and quality of care.
Provides these UM and review functions to the Purchased/Referred Care Services program for Client beneficiary patients admitted to other facilities.
Obtains and reviews necessary medical reports and treatment plans as requested by regulatory agencies or payers.
Reviews and validates physician orders, reports progress and unusual occurrences on patients.
Works with the Client leadership, clinical care team and physicians to ensure healthcare services are appropriate and cost-effective.
Collaborates with physicians, Client leadership, and the clinical care team to ensure adherence to the UM/CM/DCP plan.
Reviews new hospital admissions to assess patient condition(s) and needs in order to develop personalized treatment plans.
Provides appropriate or required information to patients and/or their families regarding their healthcare benefits.
Reviews patient records and participate in interdisciplinary collaboration with professional staff.
Ensures maintenance of the Utilization Review Plan 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.
Directs the coordination of patient care departments, ensuring treatment plans are based on the need of the patient and meet criteria approved by the hospital and any regulatory or payer requirements.
Ensures documentation supports the UM functions and communicates with payers within required timeframes.
Reviews information, communicates results to claims adjusters, and enters billing information appropriate.
Prepares information for notification letters providers, staff, and patients.
Received and processes request for appeal of denials.
Responds to complaints per UM review guidelines.
Maintains utilization review and appeal logs.
Supports clinical improvements activates of Client by providing quality review.
Performs tumor registry functions for Client.
Other duties as assigned.
Required Education, Certifications, and Licenses Required: Bachelors Degree in Nursing
Case Management certification by recognized certifying organization (i.e., NCQA, CCMC) preferred can obtain within 24 months of hire.
Active nursing license in Alaska or other U.S. state required.
Agency staff must have an active Alaska license.
High school diploma or equivalent required.
8 years clinical care or nursing experience, 3 years of which should be in chart review, risk management, or related quality service
Knowledge OfConducting and reviewing medical records for medical necessity, level of care, and public and private insurance reimbursement.
Basic ICD-9 and CPT coding.
Regulations as set forth by The Centers for Medicare Medicaid Services.
Proficient in medical terminology, anatomy, physiology, and concepts of disease.
Skills InProviding effective nursing care, assessing patient situations and taking effective courses of action.
Strong written and oral communication skills.
Strong organizational skills.
Ability ToAbility to communicate and collaborate effectively
with providers, staff, and patients.
EMR UsedCerner
Minimum Years Of ExperienceLess than 1 year
Requirements Certifications/Requirements: Nursing Certifications: CCMA
Job Summary
Contractor
Business Services
$49k-82k (estimate)
07/14/2024
07/19/2024
iconma.com
TROY, MI
1,000 - 3,000
2000
Private
CLAUDINE S GEORGE
$50M - $200M
Business Services
Related Companies
About ICONMA, LLC.
ICONMA provides human resource and staffing services.
The job skills required for Inpatient Care Coordinator include Case Management, Patient Care, Collaboration, Billing, Leadership, etc. Having related job skills and expertise will give you an advantage when applying to be an Inpatient Care Coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Inpatient Care Coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Inpatient Care Coordinator positions, which can be used as a reference in future career path planning. As an Inpatient Care Coordinator, it can be promoted into senior positions as a Managed Care Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Inpatient Care Coordinator. You can explore the career advancement for an Inpatient Care Coordinator below and select your interested title to get hiring information.
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