Case Manager ( RN / RT / SW / LPN )

Select Medical; Memphis (TN); On-site; USD 60,000 - 80,000; Full time

Job summary

Select Medical is seeking a Case Manager to oversee utilization reviews and discharge planning for critically ill patients. Candidates must have a current clinical license and previous experience in a critical care hospital setting. This role is integral to maximizing care quality and insurance reimbursements while providing support to patients and their families.

Benefits

Unlimited employee referral bonus ($500-$5000 per hire)

Health, Dental, and Vision insurance

401(k) retirement plan with company match

Paid Time Off (PTO) and Extended Illness Days

Monday through Friday schedule; six paid holidays

Short and Long Term Disability

Qualifications

• Licensure required for either nursing or social work.
• Experience required in an inpatient critical care setting.

Responsibilities

• Responsible for utilization reviews and discharge planning.
• Coordinates with payor sources to assure proper reimbursement.
• Leads multi-disciplinary team meetings.

Skills

Critical Care Management

Discharge Planning

Patient Advocacy

Utilization Management

Education

Current licensure as a Nurse (RN/LPN/LVN) or Respiratory Therapist (RT) or Social Work license

Job description

Job Description

Critical Illness Recovery Hospital

Case Manager

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).

And

Previous experience in critical care required.

At Select Specialty Hospital 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

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

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

• 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. (example: ICU, step-down, med surg, vents)

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.

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.

• An extensive and thorough orientation program.
• Monday through Friday schedule; six (6) paid holidays.
• Develop collaborative relationships with patients and their families.
• Unlimited employee referral bonus incentives ($500-$5000 per new hire, depending on position)
• Paid Time Off (PTO) and Extended Illness Days (EID).
• Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
• A 401(k) retirement plan with company match.
• Short and Long Term Disability.
• Personal and Family Medical Leave.

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.