Case Manager (PRN) – Inpatient Discharge & UM

Select Specialty Hospital; Akron (OH); On-site; USD 55,000 - 69,000; Part time

Job summary

Select Specialty Hospital in Akron, OH seeks a Case Manager (PRN) to support discharge planning and utilization management for chronically critically ill patients. Requires licensure as a Nurse, Respiratory Therapist, or Social Work SW/MSW with state-appropriate credentials.

Preference given to candidates with prior discharge planning experience and availability for at least 2 shifts per month on weekdays, roughly 8 a.m. to 5 p.m.

Qualifications

• Requires current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines).
• Previous discharge planning experience highly preferred.

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 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. Ensures 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 review

Care coordination

Interdisciplinary collaboration

Job description

Select Specialty Hospital in Akron, OH seeks a Case Manager (PRN) to support discharge planning and utilization management for chronically critically ill patients. Requires licensure as a Nurse, Respiratory Therapist, or Social Work SW/MSW with state-appropriate credentials.

Preference given to candidates with prior discharge planning experience and availability for at least 2 shifts per month on weekdays, roughly 8 a.m. to 5 p.m.