Case Manager / PRN ( RN / RT / SW / LPN )

Select Medical; Danville (IL); On-site; USD 80,000 - 100,000; Part time

Job summary

An established industry player is seeking a dedicated Case Manager to join their team in a critical care setting. This role focuses on managing patient discharge planning, utilization reviews, and coordinating care with a multidisciplinary team. The ideal candidate will possess a current clinical license and have experience in critical care environments. In this position, you will play a vital role in ensuring that patients receive the best possible care while navigating their recovery journey. If you are passionate about patient advocacy and have a knack for resource management, this opportunity could be the perfect fit for you.

Qualifications

• Current licensure in nursing or respiratory therapy or social work required.
• Experience in critical care and discharge planning preferred.

Responsibilities

• Responsible for utilization reviews, discharge planning, and treatment management.
• Coordinates with multidisciplinary teams to ensure patient care.

Skills

Critical Care Experience

Discharge Planning

Utilization Management

Resource Management

Patient Care Coordination

Education

Nursing License (RN/LPN/LVN)

Respiratory Therapist License

Social Work License (SW/MSW)

Job description

Overview

Critical Illness Recovery Hospital

Case Manager (PRN)

Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines).

And

Previous experience in critical care setting required.

Previous discharge planning experience highly preferred.

SHIFT:

*Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, from approximately 8a.m.-5p.m.*

At Select Specialty Hospitals and Regency Hospitals, a division of Select Medical, we care for chronically and critically ill or post-ICU patients who require extended hospital care. Select Medical employs over 48,000 people across the country and provides quality care to approximately 70,000 patients each and every day across our four divisions.

Our mission is to provide an exceptional patient care experience that promotes healing and recovery in a compassionate environment. Each employee plays a vital role in doing that by living our cultural behaviors - celebrating success, owning the future, being patient-centered, creating change, thinking first and building trust.

Are you resourceful in overcoming obstacles? Are you a results-oriented team player? If you answered 'yes', consider an opportunity with us!

Responsibilities

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 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. 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

Minimum requirements:

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

Preferred qualifications:

• Specific experience in Care Management and Discharge Planning is preferred.
• Working knowledge of the insurance industry and government reimbursement.

Additional Data

Select Medical strives to provide our employees with work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.

We'd love for you to join the team!

Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.