Experience
- Minimum 1 year acute care experience required
- Previous case management experience preferred
License & Certification Required
- AK RN License
- BLS (preferred)
Skills Required
- Epic EMR experience
- Acute care experience
- Care coordination
- Determine medical necessity per evidence-based guidelines
- Prior authorizations
- Utilize InterQual criteria
- Utilize Milliman guidelines
- Knowledge of CMS regulations
- Knowledge of HIPAA guidelines
- Knowledge of ICD 10 coding
- Experience with discharge planning
Desired Skills
- ACM certification (preferred)
- Experience in community hospital settings (preferred)
- Experience in Level II trauma center (preferred)
- Experience with pediatric populations (preferred)
- Experience with geriatric populations (preferred)
- Microsoft Office/Teams experience (preferred)
