Experience
- Minimum 2 years of pediatric case management experience required
- Acute care experience required
- Previous travel experience required
License & Certification Required
- AK RN license in hand required for Auto Offer
- BLS (preferred)
Skills Required
- Epic EMR experience
- Care coordination
- Determine medical necessity per evidence-based guidelines
- Prior authorizations
- Utilize InterQual criteria
- Utilize Milliman guidelines
- Knowledge of HIPAA guidelines
- ICD 10 coding
- Discharge planning
Desired Skills
- ACM certification (preferred)
- Community hospital experience
- Experience in trauma level II facilities (preferred)
- Microsoft Office/Teams experience (preferred)
