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

Select Medical; Miami (FL); On-site; USD 34,000 - 52,000; Full time

Benefits offered by this job

401k eligibility

Employee assistance program

Part time/Per Diem

Job summary

Select Medical’s Select Specialty Hospital in Miami seeks a Case Manager (PRN) to oversee discharge planning, utilization reviews and case management for chronically critically ill patients. You will coordinate with payors and a multi-disciplinary team to ensure quality care and appropriate resource use, scheduling shifts on an as-needed basis.

The role requires current licensure in a clinical discipline (nurse, RT) or social work license, with preferred prior discharge planning experience in an

Qualifications

• Current licensure in a clinical discipline (RN/LPN/LVn) or Respiratory Therapist OR Social Work SW/MSW license per state guidelines.
• Previous RN/LPN/RT/SW/CM inpatient hospital experience in critical care/acute care preferred.
• Experience in acute medical case management and planning of care for chronically critically ill populations.

Responsibilities

• Responsible for utilization reviews and resource management.
• Manage discharge planning and treatment plan oversight.
• Perform medical record documentation and report to Director of Case Management.
• Coordinate with payor sources to maximize reimbursement and ensure proper coverage.
• Facilitate multi-disciplinary team meetings with physicians, nurses, RTs, and rehabilitation therapists.

Skills

Clinical licensure

Discharge planning

Team collaboration

Education

SW/MSW licensing

Job description

Overview

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

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 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 appoximately 8a.m.-5p.m.*

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. We help patients during some of the most vulnerable, painful moments of their lives – and our team plays a central role in providing compassionate, excellent care every step of the way.

Responsibilities

We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.

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 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. Reviews insurance verification forms to minimize risk.
• Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Qualifications

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 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. (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 qualificationsthat will make you successful:

• Specific experience in Care Management and Discharge Planning is preferred.
• 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 would be scheduled on weekdays, from appoximately 8a.m.-5p.m.

Additional Data

Why Join Us:

• Start Strong:Extensive orientation program to ensure a smooth transition into our setting.
• Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities
• Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part time/Per Diempositions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part time employees.
• Your Impact Matters:Join a team of over 44,000 committed to providing exceptional patient care

Equal opportunity employer, including disabled veterans