Case Manager (Per Diem) – Post-ICU Discharge Planning

Select Medical

Battle Creek (MI)

On-site

USD 40,000 - 57,000

Part time

4 days ago
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Benefits offered by this job

Extensive orientation program
Advancement opportunities
Well-being benefits

Job summary

Select Specialty Hospital is seeking a Case Manager (PRN) to support discharge planning, utilization management and social work services for chronically critically ill patients. You will report to the Director of Case Management and collaborate with a multi-disciplinary team to ensure timely, coordinated care and appropriate reimbursement.

Minimum licensure requirements include RN/LPN/LV N, RT or Social Work license per state guidelines, with prior inpatient discharge planning experience

Qualifications

  • Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN) or a Respiratory Therapist 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.
  • Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations.

Responsibilities

  • 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.
  • Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Skills

Discharge planning
Utilization management

Education

RN/LPN/LV N or RT license
SW/MSW license

Job description

Select Specialty Hospital is seeking a Case Manager (PRN) to support discharge planning, utilization management and social work services for chronically critically ill patients. You will report to the Director of Case Management and collaborate with a multi-disciplinary team to ensure timely, coordinated care and appropriate reimbursement.

Minimum licensure requirements include RN/LPN/LV N, RT or Social Work license per state guidelines, with prior inpatient discharge planning experience

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