Hospital Director of Case Management at Select Medical

OverviewCritical Illness Recovery HospitalDirector of Case Management$10000 Sign On BonusPay Is Determined By Relevant Years of ExperienceClinical license as a registered nurse or respiratory therapist or masters in social work and minimum three (3) years of medical case management or similar experience.Previous case mangement ( discharge planning ) experience with medically complex patients in a hospital critical care setting and supervisory experience.At Select Specialty/Regency Hospitals a division of Select Medical we care for chronically and critically ill or post-ICU patients who require extended hospital care. Select Medical employs over 48000 people across the country and provides quality care to approximately 70000 patients each and every day across our four divisions. Our mission is to provide an exceptional patient care experience that promotes healing and recovery in a compassionate environment. Each employee plays a vital role in doing that by living our cultural behaviors - celebrating success owning the future being patient-centered creating change thinking first and building trust.Are you resourceful in overcoming obstacles Are you a results-oriented team player If you answered yes consider an opportunity with us!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.As the Director of Case Management you will use your clinical knowledge and contribute to the overall functions and professional growth of the department including but not limited to: Utilization Review (UR) and resource management discharge planning treatment plan management and financial management effectiveness.Developing and implementing a patient-specific safe and timely discharge plan.Performing verification of utilization criteria reviews.Building relationships and coordinating with payor sources in order to ensure proper reimbursement for hospital provided services and to promote cost attentive care via a focus on resource management.Demonstrating compliance with facility-wide Utilization Management policies and procedures.Coordinating UR compliance with Quality Management to ensure 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 or a related discipline.Minimum three (3) years of medical case management or similar experience.Two (2) years of experience in either (a) managing a case management department; or (b) case management at Select Medical with demonstrated effective leadership skills. (Internal candidate must have consistently achieved set objectives and must be recommended by the hospital CEO).Preferred qualificationsthat will make you successful:Current RN licensure preferred.Working knowledge of the insurance industry and government reimbursement.Additional DataSelect Medical strives to provide our employees with work-life balance as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.An extensive and thorough orientation program.Monday through Friday schedule; six (6) paid holidays.Develop collaborative relationships with patients and their families.Paid Time Off (PTO) and Extended Illness Days (EID).Health Dental and Vision insurance; Life insurance; Prescription coverage.A 401(k) retirement plan with company match.Short and Long Term Disability.Personal and Family Medical Leave.Wed love for you to join the team!Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment and employees are treated during employment without regard to race color religion national origin citizenship age sex sexual orientation gender identity marital status ancestry physical or mental disability veteran status or any other characteristic protected under applicable law.Required Experience:Director Key Skills Dhcp,Gynecology,Lab Technology,Maintenance,ASP Employment Type : Unclear Experience: years Vacancy: 1