Case Manager ( RN / RT / SW / LPN )

About the role

Select Specialty Hospital is a critical illness recovery hospital dedicated to providing world-class inpatient post-ICU services to chronic, critically ill patients. The Case Manager plays a central role in providing compassionate, excellent care and ensuring patients receive the best possible outcomes.

Responsibilities

• Develops and implements a patient-specific, safe, and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Buils relationships and coordinates with payor sources to assure proper reimbursement for hospital-provided services, promoting cost-effective care through focus on resource management within the plan of care.
• Demonstrates compliance with facility-wide Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management to ensure all licensure and accrediting requirements are fulfilled.
• Maintains fiscal responsibilities, ensuring the department identifies and negotiates 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

• Current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT).
• Previous Discharge Planning Experience Preferred.

Qualifications

• Minimum Requirements: Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist (RN preferred) OR current license/certified Social Work license 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

• Patient-centered care.
• Discharge planning expertise.
• Resource management.
• Compliance with healthcare regulations.
• Insurance industry knowledge.
• Team collaboration.

Benefits

Not specified.

Pay

$17.69 - $24.53/hr

Schedule

Full Time: Monday-Friday 8-5pm

Case Manager Sign-On Bonus

$8,000