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

Select Specialty Hospital; Nashville (TN); On-site; USD 54,095 - 155,538; Full time

Job summary

A critical illness recovery facility in Nashville, TN is seeking a skilled Case Manager. This role requires a licensed Nurse or Respiratory Therapist, with experience in managing care for chronically ill patients. Responsibilities include developing discharge plans and coordinating with payors for reimbursements. The ideal candidate will thrive in a team-environment focused on patient care and quality of life. Employment type is full-time with some flexibility in shifts.

Qualifications

• Must be licensed as an RN, LPN, RT, or certified Social Worker per state guidelines.
• Experience in inpatient settings, particularly with critical care patients.
• Confidence in managing case plans for chronically ill patients.

Responsibilities

• Develop discharge plans tailored to patient needs.
• Coordinate with insurers to maximize reimbursement.
• Ensure compliance with utilization management policies.
• Facilitate multi-disciplinary team meetings.

Skills

Current licensure as Nurse or Respiratory Therapist

Experience in critical care or acute care settings

Strong communication skills

Education

Current license in relevant health discipline

Job description

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

Nashville, TN $54,095.00‑$155,538.00

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

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.

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.

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.

Responsibilities

• 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.

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 Qualifications That 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 approximately 8a.m.-5p.m.

Additional Information

Seniority level: Mid-Senior level

Employment type: Full-time

Job function: Health Care Provider

Industries: Hospitals and Health Care