Travel RN - Case Management/Utilization Review - Case Management

American Traveler, LLC.; Anchorage (AK); On-site; USD 95,000 - 125,000; Full time

Benefits offered by this job

High Pay and Bonuses

Medical, Dental and Vision Insurance

401(k) Plan

Weekly Payroll Deposit

Free Online CEUs

Generous Housing Allowance

Travel and Licensure Reimbursements

Non-taxed Per Diem and Subsidy

Traveler Rewards and Discounts

Job summary

American Traveler is hiring an RN Case Manager for an acute care Level II Trauma hospital in Alaska. Requires an active AK RN license, BLS, and Epic EMR experience, with 2+ years acute care case management.

The role offers a 13- or 26-week contract, 4x10 or 5x8 shifts, weekend work, and hospital-wide floating. Travel-friendly with magnets and generous benefits, including housing allowances and per diems.

Qualifications

• Active AK RN license required for consideration.
• BLS certification required.
• ACM-RN certification preferred.
• Minimum 2 years acute care hospital experience required (hardstop).
• Epic charting system experience required.
• Community hospital, LTAC, and Trauma Level II experience preferred.
• Experience with care coordination, continued stay reviews, pre-cert review, prior authorizations, and utilization review guidelines (InterQual, Milliman).
• Knowledge of CMS, HIPAA, ICD-10 coding, and regulatory compliance standards preferred.

Responsibilities

• Case Management/Utilization Review unit within an acute care hospital setting.
• Day shift schedule, either 4x10 or 5x8 hours with shift start times ranging from 0700 to 0830.
• 13 or 26 week contract length options.
• Required to work every other weekend or 4 weekend days within a 4 week schedule.
• No on-call responsibilities.
• Floating required within the hospital or to nearby affiliate hospitals as needed.
• Epic EMR experience required.
• Responsible for admission criteria review, care coordination, continued stay reviews, discharge planning, and determining medical necessity per evidence-based guidelines.
• Coordinates needs assessments, DME orders, and plan of care development.
• Performs pre-certification reviews and prior authorizations in accordance with payer and regulatory requirements.
• Facility is a Magnet-designated, Level II Trauma hospital recognized as a top hospital in Alaska.
• Scrubs provided by facility.
• Must be willing to work 2 of the 3 major holidays: Thanksgiving, Christmas, and New Year’s.
• Limited time off requests permitted during the assignment, with no holiday time off allowed.
• First-time travelers are accepted.
• Candidates must reside at least 50 miles from the facility; local candidates are not accepted.
• Former permanent staff must be separated from the health system for a minimum of 3 months before returning as a traveler.
• Travelers may work a maximum of 1 calendar year in the assignment before requiring a 6-month break prior to returning to the same facility.
• Hepatitis B vaccination required; titers or declinations not accepted.

Skills

Active AK RN license

BLS certification

CMS HIPAA ICD-10 knowledge

Care coordination

Utilization review

Evidence-based guidelines

Communication skills

ACM-RN certification

Education

ACM-RN certification preferred

Tools

Epic EMR

Job description

American Traveler is hiring an RN Case Manager for an acute care Level II Trauma hospital requiring an active AK RN license and prior acute care case management experience.

Requirements

• Active AK RN license required in hand for consideration
• BLS certification required
• ACM-RN certification preferred
• Minimum 2 years acute care hospital experience required (hardstop requirement)
• Epic charting system experience required
• Community hospital, LTAC, and Trauma Level II experience preferred
• Experience with care coordination, continued stay reviews, pre-cert review, prior authorizations, and utilization review guidelines (InterQual, Milliman)
• Knowledge of CMS, HIPAA, ICD-10 coding, and regulatory compliance standards preferred

Responsibilities

• Case Management/Utilization Review unit within an acute care hospital setting
• Day shift schedule, either 4x10 or 5x8 hours with shift start times ranging from 0700 to 0830
• 13 or 26 week contract length options
• Required to work every other weekend or 4 weekend days within a 4 week schedule
• No on-call responsibilities
• Floating required within the hospital or to nearby affiliate hospitals as needed
• Epic EMR experience required
• Responsible for admission criteria review, care coordination, continued stay reviews, discharge planning, and determining medical necessity per evidence-based guidelines
• Coordinates needs assessments, DME orders, and plan of care development
• Performs pre-certification reviews and prior authorizations in accordance with payer and regulatory requirements
• Facility is a Magnet-designated, Level II Trauma hospital recognized as a top hospital in Alaska
• Scrubs provided by facility
• Must be willing to work 2 of the 3 major holidays: Thanksgiving, Christmas, and New Year's
• Limited time off requests permitted during the assignment, with no holiday time off allowed
• First-time travelers are accepted
• Candidates must reside at least 50 miles from the facility; local candidates are not accepted
• Former permanent staff must be separated from the health system for a minimum of 3 months before returning as a traveler
• Travelers may work a maximum of 1 calendar year in the assignment before requiring a 6-month break prior to returning to the same facility
• Hepatitis B vaccination required; titers or declinations not accepted

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts