Description The Case Manager/RN 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. The Case Manager/RN Navigator partners with the Utilization Review nurse, patients, physicians, and interdisciplinary team to ensure authorization from third party payors secured; assure resource access and function as team member providing coordinated admission and discharge planning. Fosters change and teamwork to ensure constructive relationships and growth, while maintaining a positive and professional image when interacting with patients, their families, physicians, employees and general public. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Kodiak Alaska Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. This position can be a Remote work opportunity, if you reside within the State of Alaska Schedule is part time, 0.5 FTE, Day shift, Monday-Friday 8am-12pm in AKT zone, 4 hours per day; total 20 hours per week. Apply today Applicants that meet qualifications will receive an invite with additional screening questions from our HireVue system Required Qualifications: Graduate of an accredited/approved school of Nursing Associate's Degree in Nursing Upon hire: Alaska Registered Nurse License 3 years Clinical nursing experience Prior experience with provider requirements for admissions transfers and discharges Prior experience using Electronic Medical Records (EMR) such as EPIC Preferred Qualifications: Bachelor's Degree 1 year experience as an RN in Utilization Management-review, Case Management and/or Discharge-planning Experience with InterQual criteria, Medicare and Medicaid regulations Prior experience using Microsoft Office Suite Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. The Providence family of organizations has a vision of health for a better world. As such, we are called to care wisely for our communities, resources, and earth. Our organizations strive to become carbon negative by 2030. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. About the Team Providence has a long history of serving Alaska, beginning when the Sisters of Providence first brought health care to Nome in 1902 during the Gold Rush. This pioneering spirit set the standard for modern health care in Alaska and formed the foundation for Providence's growth as the state's largest private employer and leading health care provider. Our award-winning and comprehensive medical centers are located in Anchorage, Eagle River, Kodiak Island, Mat-Su, Seward, and Valdez. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, and hospice and home care. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 330744 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Part time Job Shift: Day Career Track: Nursing Department: 1010 AK PKIMC UTILIZ REVIEW Address: AK Kodiak 1915 Rezanof Work Location: Providence Kodiak Island Medical Ctr-Kodiak Workplace Type: Remote Pay Range: $41.70 - $62.54 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Medical Case Manager, Location:Kodiak, AK-99615