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

About the role

Select Specialty Hospital is a critical illness recovery hospital committed to providing inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. The Case Manager supports patients through discharge planning, utilization reviews, resource management, treatment plan management, financial management and medical record documentation. The role reports directly to the Director of Case Management and provides social work services as necessary, per state guidelines.

Responsibilities

• Develop and implement patient-specific, safe and timely discharge plans.
• Perform verification of utilization criteria reviews.
• Build relationships and coordinate with payor sources to assure proper reimbursement for hospital-provided services.
• Promote cost-attentive care through resource management within the plan of care.
• Demonstrate compliance with facility-wide Utilization Management policies and procedures.
• Coordinate utilization review compliance with Quality Management.

Requirements

• Current licensure in a clinical discipline as a nurse or respiratory therapist, or Social Work SW/MSW (potential license per state guidelines).
• Previous discharge planning experience is highly preferred.
• Availability to work a minimum of 2 shifts per month on an as-needed basis. Shifts are scheduled on weekdays, approximately 8 a.m.–5 p.m.

Key facts

• PRN, as-needed position.
• Minimum availability of 2 shifts per month.
• Weekday shifts are approximately 8 a.m.–5 p.m.
• Requires current licensure in a clinical discipline or Social Work SW/MSW.
• Previous discharge planning experience is highly preferred.