Case Manager ( RN RT SW LPN ) at Select Medical

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case ManagerFull Time: Monday-Friday 8-5pmRequires 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).AndPrevious 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.ResponsibilitiesWe 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.QualificationsWe are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.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 guidelinesPrevious 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)Preferred qualificationsthat will make you successful:Specific experience in Care Management and Discharge Planning is preferred.Working knowledge of the insurance industry and government reimbursement.Additional DataGeneral Benefits Full-timeStart Strong: Extensive and thorough orientation program to ensure a smooth transition into our settingRecharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balanceYour Health Matters: Comprehensive medical/RX health vision employee assistance program (EAP) and dental plan offerings for full-time team membersInvest in Your Future:Company-matching 401(k) retirement plan as well as life and disability protection for full-time team membersYour Impact Matters:Join a team of over 44000 committed to providing exceptional patient careEqual opportunity employer including disabled veteransRequired 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