Registered Nurse - Case Management

Registered Nurse – Case Management | Travel RN Job in Sitka, Alaska

Experienced Registered Nurse with case management and utilization review skills needed for a 13-week travel nursing assignment in Sitka, Alaska. Join a collaborative healthcare team focused on care coordination, discharge planning, and patient progression of care in a scenic coastal setting.

Job Details

• Weekly Estimated Pay: $2,603 - $2,892
• Assignment Length: 13 weeks
• Start Date: 10/5/2026
• Schedule: 5 shifts per week
• Shift Duration: 8-hour days
• Hours Per Week: 40
• Setting: On-site Case Management / Utilization Review
• EMR: Meditech
• Location: Sitka, Alaska

Job Requirements

• Active Alaska RN license required at time of submission
• Bachelor’s Degree in Nursing (BSN) required
• 8 years of clinical care or nursing experience required
• At least 3 years of experience in chart review, risk management, quality services, or related nursing case management
• Case Management certification from a recognized certifying organization such as NCQA or CCMC preferred
• Flu vaccine required
• Knowledge of medical necessity review, level of care review, and public and private insurance reimbursement
• Working knowledge of basic ICD-9 and CPT coding
• Understanding of CMS regulations, medical terminology, anatomy, physiology, and disease processes
• Strong written, verbal, organizational, and interdisciplinary collaboration skills

Responsibilities

• Manage patient progression of care and support timely, appropriate discharge planning
• Review patient records to evaluate hospitalization necessity, appropriateness of care, and length of stay
• Perform utilization management and case review functions for admitted patients
• Obtain and review medical reports, treatment plans, and supporting documentation requested by payers or regulatory agencies
• Validate physician orders and communicate patient progress and unusual occurrences
• Collaborate with physicians and interdisciplinary care teams to ensure efficient, evidence-based care coordination
• Assess new admissions and help develop individualized treatment and discharge planning strategies
• Provide patients and families with information regarding healthcare benefits and care progression
• Ensure documentation supports utilization management requirements and payer communication timelines
• Assist with denial appeals, complaint response processes, utilization review logs, and quality review activities
• Support clinical quality improvement initiatives and perform additional related duties as assigned

Apply now for this Registered Nurse case management travel job in Sitka, Alaska, and join a healthcare team committed to quality care and effective utilization review.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.