Case Manager / PRN ( RN / RT / SW / LPN )

About the role

Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) is seeking a PRN Case Manager to join our dedicated team. The ideal candidate will have a current licensure in a clinical discipline such as Nursing, Respiratory Therapy, or Social Work (SW/MSW), with potential licenses per state guidelines.

Responsibilities

• Utilization reviews and resource management
• Discharge planning
• Treatment plan management and financial management
• Completes medical record documentation
• Social work services, as necessary, per state guidelines
• Develops and implements a patient-specific, safe, and timely discharge plan
• Verifies utilization criteria reviews
• Buils relationships and coordinates with payor sources to ensure proper reimbursement for hospital-provided services
• Coordinates UR compliance with Quality Management to ensure all licensure and accrediting requirements are fulfilled
• Maintains fiscal responsibilities
• Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists, and rehabilitation therapists

Requirements

• Current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist
• Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients
• Adequate experience in an acute medical case management setting
• Confidence to manage and direct a plan of care for chronically critically ill populations

Preferred Qualifications

• Specific experience in Care Management and Discharge Planning
• Working knowledge of the insurance industry and government reimbursement