Case Manager (PRN) — Post-ICU Care & Discharge Navigator

Select Medical; Pontiac (MI); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Part time/Per Diem

401k eligible after 1,000 hours

Extensive orientation

Employee assistance program

Job summary

Select Specialty Hospital in Michigan is seeking a Case Manager (PRN) to coordinate discharge planning, utilization reviews and social work services per state guidelines. The role reports to the Director of Case Management and requires ongoing communication with physicians, nurses, therapists and payors.

Qualified candidates hold active licensure in a clinical discipline (RN/LPN/LVN, Respiratory Therapist, or Social Work) and have prior inpatient discharge planning experience; cross-disciplinary

Qualifications

• Current licensure in a clinical discipline per state guidelines.
• Inpatient hospital experience in critical/acute care (ICU/step-down/med-surg).
• Experience in acute medical case management and directing care plans for chronically critically ill populations.
• Care Management and Discharge Planning experience preferred.
• Knowledge of insurance industry and government reimbursement.

Responsibilities

• Develops and implements patient-specific discharge plans.
• Verifies utilization criteria reviews.
• Coordinates with payor sources to maximize reimbursement.
• Ensures compliance with Utilization Management policies.
• Coordinates UR compliance with Quality Management.
• Manages department finances to maximize insurance benefit coverage.
• Facilitates multi-disciplinary team meetings including physicians and therapists.

Skills

Discharge planning

Care management

Multidisciplinary teamwork

Resource management

Education

RN/LPN/LVn license

Respiratory Therapist license

Social Work license

Job description

Select Specialty Hospital in Michigan is seeking a Case Manager (PRN) to coordinate discharge planning, utilization reviews and social work services per state guidelines. The role reports to the Director of Case Management and requires ongoing communication with physicians, nurses, therapists and payors.

Qualified candidates hold active licensure in a clinical discipline (RN/LPN/LVN, Respiratory Therapist, or Social Work) and have prior inpatient discharge planning experience; cross-disciplinary