Job Title: Case Manager
Location: Sitka, Alaska
Schedule: 8:00AM – 4:00PM x 5
Term: 13-week assignment with the potential for extension
Pay Rate: $77 – $83/hr
Astrya Global, a San Diego based medical staffing agency, is hiring a Case Manager for a temporary assignment in Sitka, Alaska. These positions are 13-week contracts with the ability to extend.
Responsibilities for a Case Manager:
• Must have active Alaska license at time of submission
• Flu vaccine required
• Must have recent 3 years of inpatient care coordination discharge planning experience
• Reviews patients’ records and evaluates patient progress
• Performs continuing review of patient hospitalization to monitor the necessity for and appropriateness of hospitalization, length of stay, and quality of care
• Provides utilization management and review functions for 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
• Collaborates with physicians and 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
• Provides appropriate or required information to patients and/or their families regarding their healthcare benefits
• Participates in interdisciplinary collaboration with professional staff
• Ensures maintenance of the Utilization Review Plan in collaboration with the Utilization Review staff Medical Director
• 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 meet criteria approved by the hospital and regulatory or payer requirements
• Ensures documentation supports utilization management functions and communicates with payers within required timeframes
• Reviews information, communicates results to claims adjusters, and enters billing information appropriately
• Prepares information for notification letters to providers, staff, and patients
• Receives and processes requests for appeal of denials
• Responds to complaints per utilization management review guidelines
• Maintains utilization review and appeal logs
• Supports clinical improvement activities by providing quality review
• Performs tumor registry functions
• Performs other duties as assigned
Benefits for a Case Manager:
- Weekly pay every Friday
- Medical/Dental/Vision/Life/Pet Insurance
- 401K Retirement Plan (matching)
- Full-service Credentialing and Corporate Travel Team
- Referral Bonus up to $1,500
Astrya Global Medical Staffing offers 10+ years of staffing experience, 100% domestic support, and is certified by both the Joint Commission and National Association of Locum Tenens Organizations. At Astrya, we are dedicated to helping healthcare professionals find the perfect job.