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

Select Specialty Hospital; Erie (Erie County); On-site; USD 55,104 - 68,880; Full time

Job summary

Select Specialty Hospital is seeking a Case Manager (PRN) to support inpatient post-ICU services. The role requires licensure in a clinical discipline (RN/LPN/LVN/RT) or a SW/MSW, with prior discharge planning experience preferred.

The Case Manager will perform utilization reviews, discharge planning, and social work duties under the Director of Case Management. Responsibilities include developing patient-specific discharge plans, coordinating with payors for reimbursement, ensuring UR

Qualifications

• Current licensure in a clinical discipline either as a RN, LPN, LVN, Respiratory Therapist, or a certified Social Work license per state guidelines.
• Previous discharge planning experience is highly preferred.
• 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

• Utilization reviews and resource management.
• Discharge planning and treatment plan management.
• Financial management and completing medical record documentation.
• Reports directly to the Director of Case Management and provides 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.
• Demonstrates compliance with facility-wide Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management to fulfill licensure and accrediting requirements.
• Maintains fiscal responsibilities, reviewing insurance verification forms to minimize risk.
• Facilitates multidisciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Job description

Select Specialty Hospital

Case Manager (PRN)

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

Previous discharge planning experience highly preferred.

• Availability to work a minimum of 2 shifts per month on an "as needed" basis—shifts scheduled on weekdays from approximately 8 a.m. to 5 p.m.

Critical Illness Recovery Hospital (LTACH)

Case Manager (PRN)

Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.

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. Reports directly to the Director of Case Management and provides 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, promoting cost‑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, ensuring the department identifies and negotiates the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
• Facilitates multidisciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

How You Will Be Successful in this Environment

We are seeking results‑driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.

Minimum Requirements

• Current licensure in a clinical discipline either as an RN, LPN, LVN, Respiratory Therapist, or a certified Social Work license per state guidelines.
• Previous experience as an RN, LPN, RT, SW, or CM in an inpatient hospital setting dealing with critical care/acute care patients (e.g., ICU, step‑down, med‑surg, ventilated 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.

Preferred Qualifications That Will Make You Successful

• Specific experience in Care Management and Discharge Planning.
• Working knowledge of the insurance industry and government reimbursement.
• Availability to work a minimum of 2 shifts per month on an "as needed" basis—shifts scheduled on weekdays from approximately 8 a.m. to 5 p.m.