Director of Case Management ( RN / RT / MSW / LPN )

Select Specialty Hospital San Antonio Inc.; Rochelle Park (NJ); On-site; USD 111,000 - 140,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Select Specialty Hospital is seeking a Director of Case Management in Rochelle Park, NJ. The role oversees Utilization Review, discharge planning, and financial management, with a focus on effective resource use and interdisciplinary collaboration.

Qualified candidates will have a clinical license (RN/RT/MSW) and 3+ years in medical case management, plus 2+ years of supervisory leadership. A sign-on bonus is offered as part of the compensation package.

Qualifications

• Current licensure in a clinical discipline; RN, RT, or MSW with 3+ years of case management.

Responsibilities

• Develop patient-specific discharge plans ensuring safety and timeliness.
• Oversee Utilization Review and resource management.
• Coordinate with payors to maximize reimbursement for hospital services.
• Lead multi-disciplinary team meetings with physicians and therapists.
• Ensure compliance with Utilization Management policies and accrediting requirements.

Skills

Leadership

Discharge planning

Education

RN licensure

MSW (Master's in Social Work)

Job description

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Director of Case Management

Sign On Bonus: $10,000

Salary Range: $111,000 - $140,000 Based On Prior Relevant Work Experience

Full Time: Monday - Friday 8-5pm

Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum three (3) years of medical case management or similar experience.

Previous case mangement ( discharge planning ) experience with medically complex patients in a hospital critical care setting and supervisory experience.

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.

As the Director of Case Management, you will use your clinical knowledge and contribute to the overall functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial management effectiveness.

• Developing and implementing a patient-specific, safe and timely discharge plan.
• Performing verification of utilization criteria reviews.
• Building relationships and coordinating with payor sources in order to ensure proper reimbursement for hospital provided services and to promote cost attentive care via a focus on resource management.
• Demonstrating compliance with facility-wide Utilization Management policies and procedures.
• Coordinating UR compliance with Quality Management to ensure 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.

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 or a related discipline.
• Minimum three (3) years of medical case management or similar experience.
• Two (2) years of experience in either (a) managing a case management department; or (b) case management at Select Medical with demonstrated effective leadership skills. (Internal candidate must have consistently achieved set objectives and must be recommended by the hospital CEO).

Preferred Qualifications That Will Make You Successful

• Current RN licensure preferred.
• Working knowledge of the insurance industry and government reimbursement.