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Skills: Case management, Discharge planning, Utilization review, Resource management, Treatment plan management
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Other
professional certificate
Extensive orientation program, Paid time off, Paid sick time, Medical insurance, Prescription drug coverage, Health insurance
Posted 18d ago
Apply by Jul 31
~40 hrs/week
Responsibilities
The Case Manager is responsible for utilization reviews, resource management, and developing safe, timely discharge plans for critically ill patients. They also facilitate multi-disciplinary team meetings and negotiate reimbursement to maximize insurance benefit coverage.
Requirements
Candidates must hold a current clinical license as a Nurse, Respiratory Therapist, or Social Worker. Previous experience in an inpatient hospital setting dealing with critical or acute care patients is required.
Full job description
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:
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)
Preferred qualifications that will make you successful:
Specific experience in Care Management and Discharge Planning is preferred.
Working knowledge of the insurance industry and government reimbursement.
Additional Data
General Benefits Full-time
Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members
Invest in Your Future:Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
Your Impact Matters:Join a team of over 44,000 committed to providing exceptional patient care
Equal opportunity employer, including disabled veterans
Related keywords
Case ManagerRNLPNRTSocial WorkLTACHCritical Illness RecoveryDischarge PlanningUtilization ManagementResource ManagementInsurance VerificationReimbursementICUAcute CareMedical RecordsPatient Care
Select Medical made a commitment more than 20 years ago to deliver an exceptional patient care experience that promotes healing and recovery in a compassionate environment. We have honored that promise by helping define the nation's standard of excellence in specialized hospital and rehabilitative care.
Today, we have grown to more than 50,000 colleagues caring for more than 82,000 patients every day across our care continuum. Select Medical is one of the largest operators of critical illness recovery hospitals, rehabilitation hospitals, outpatient rehabilitation centers and occupational health centers in the United States.
Select Medical is based in Mechanicsburg, Pennsylvania. We are honored to be recognized by Forbes as one of America’s Best-In-State Employers in Maryland, Missouri and Pennsylvania for 2021.
Select Medical provides equal employment [and affirmative action] opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability. http://careers.selectmedical.com
Offices: 4714 Gettysburg Rd, Mechanicsburg, PA 17055, US