Case Manager ( RN / RT / SW / LPN )
About the role
Select Specialty Hospital is seeking a Full-Time Case Manager to join our dedicated team. The ideal candidate will have a current licensure in a clinical discipline such as Nursing (RN/LPN/LVN), Respiratory Therapy (RT), or Medical Social Work (per state guidelines) and previous discharge planning experience.
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 assure proper reimbursement for hospital provided services
- Promotes costs attentive care via focus on resource management within the plan of care
- Demonstrates compliance with facility-wide Utilization Management policies and procedures
- Collaborates with Quality Management to assure all licensure and accrediting requirements are fulfilled
- Maintains fiscal responsibilities
- Affirms the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient
- Reviews insurance verification forms to minimize risk
- Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists, and rehabilitation therapists
Requirements
The Case Manager must have current licensure in a clinical discipline such as Nursing (RN/LPN/LVN), Respiratory Therapy (RT), or Medical Social Work (per state guidelines) and previous discharge planning experience.
Qualifications
- Minimum Requirements: Current licensure in a clinical discipline such as Nursing (RN/LPN/LVN), Respiratory Therapy (RT), or Medical Social Work (per state guidelines)
- Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients (example: ICU, step-down, med surg, vents)
Skills
Specific experience in Care Management and Discharge Planning is preferred. Working knowledge of the insurance industry and government reimbursement is preferred.
Benefits
Our benefits package includes:
- Comprehensive health insurance
- Flexible spending accounts
- Retirement savings plans
- Employee assistance programs
Pay
Salary range based on prior case management experience: $73,000 - $100,000
Schedule
Monday-Friday 8-5pm