Case Manager ( RN RT SW LPN )

Overview

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Case Manager

Full Time : Monday-Friday 8-5pm

Requires a current licensure in a clinical discipline either as a Nurse (RN / LPN / LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).

And

Previous discharge planning experience preferred.

Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable painful moments of their lives and our team plays a central role in providing compassionate excellent care every step of the way.

Responsibilities

We are looking for valued employees who will be Champions of the Select Medical Way which includes putting the patient first helping to improve quality of life for the community in which you live and work continuing to develop and explore new ideas providing high-quality care and doing well by doing what is right.

The Case Manager is responsible for utilization reviews and resource management discharge planning treatment plan management and financial management while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services as necessary per state guidelines.

• Develops and implements a patient specific safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services promote costs attentive care via 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 assure all licensure and accrediting requirements are fulfilled.
• Maintains fiscal responsibilities. Assures 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.

Qualifications

We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.

Minimum requirements :

Preferred qualificationsthat will make you successful :

Additional Data

General Benefits Full-time

Equal opportunity employer including disabled veterans

Required Experience :

Manager

Key Skills

Project Portfolio Management,Motivational Interviewing,HIPAA,Computer Skills,Intake Experience,Lean Six Sigma,Conflict Management,Case Management,Team Management,Program Development,Social Work,Addiction Counseling

Employment Type : Unclear

Experience : years

Vacancy : 1