Case Manager ( RN / RT / SW / LPN )

Select Specialty Hospital; Des Moines (IA); On-site; USD 60,000 - 80,000; Full time

Job summary

A critical illness recovery hospital is seeking a full-time Case Manager in Des Moines, Iowa. The role involves developing patient-specific discharge plans, ensuring compliance with utilization management policies, and facilitating multi-disciplinary team meetings. Candidates must hold a current clinical licensure (RN, LPN, RT, or licensed Social Worker) and have experience in an inpatient setting dealing with critical care patients. Ideal candidates will possess skills in care management and knowledge of the insurance industry.

Qualifications

• Current RN/LPN/LVN or RT licensure required.
• Experience in inpatient hospital setting with critical care patients preferred.

Responsibilities

• Develop and implement patient-specific discharge plans.
• Coordinate with payor sources for proper reimbursement.
• Facilitate multi-disciplinary team meetings.

Skills

Care Management

Discharge Planning

Communication

Education

Licensure in a clinical discipline (Nursing or Respiratory Therapy)

Certified Social Work license

Job description

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Case Manager

Full Time: Monday-Friday 8-5pm

Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).

Previous Discharge Planning Experience Preferred.

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

• 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.
• Facilitates multi‑disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Minimum Requirements

• Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist (RN preferred) 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 (e.g., ICU, step‑down, med‑surg, vents).

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.