Case Manager: Discharge Planning & Care Coordination

Rush University Medical Center; Detroit (MI); On-site; USD 72,000 - 105,000; Full time

Benefits offered by this job

Start Strong orientation

Generous PTO / Sick Time

Health insurance

401(k) retirement plan

Life and disability protection

Employee assistance program

Job summary

Rush University Medical Center in Detroit, MI is seeking a Case Manager for a full-time, Monday–Friday 8–5 role. Pay is based on prior relevant years of experience.

The position requires current licensure in a clinical discipline (RN/LPN/LVN or RT) or a Social Work license per state guidelines, with prior discharge planning experience preferred. You will manage discharge planning, utilization reviews, and social work services per state guidelines.

Qualifications

• 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 (ICU, step-down, med surg, vents).

Responsibilities

• Develops and implements a patient specific, safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Builds relationships and coordinates with payor sources to secure proper reimbursement and resource management.
• Demonstrates compliance with Utilization Management policies and procedures.
• Coordinated UR compliance with Quality Management to fulfill licensure and accrediting requirements.
• Maintains fiscal responsibilities and maximizes insurance benefit coverage for the patient.
• Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Skills

Discharge planning

Utilization reviews

Social work services

Education

RN/LPN/LVN or RT license OR Medical Social Work license

Job description

Rush University Medical Center in Detroit, MI is seeking a Case Manager for a full-time, Monday–Friday 8–5 role. Pay is based on prior relevant years of experience.

The position requires current licensure in a clinical discipline (RN/LPN/LVN or RT) or a Social Work license per state guidelines, with prior discharge planning experience preferred. You will manage discharge planning, utilization reviews, and social work services per state guidelines.