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

Select Medical; Savannah (GA); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Orientation program

Generous PTO & Sick Time

Medical, Vision, Dental

401(k) with company match

Life & Disability protection

Job summary

Select Medical's Critical Illness Recovery Hospital in Savannah, GA is seeking a Director of Case Management to lead utilization review, discharge planning, and care coordination for medically complex post-ICU patients.

Qualified candidates will hold an active clinical license (RN/RT) or a master’s in social work, have 3+ years in medical case management with supervisory experience, and demonstrate leadership in a hospital setting. Full-time position with competitive benefits.

Qualifications

• Active clinical license (RN/RT) or MSW required.
• Minimum 3 years in medical case management or similar.
• Prior leadership experience in a hospital setting preferred.

Responsibilities

• Lead Utilization Review and resource management to optimize care and cost.
• Develop and manage patient-specific discharge plans.
• Coordinate with payors to ensure proper reimbursement and access to services.
• Ensure compliance with Utilization Management policies and regulatory requirements.
• Oversee UR compliance with Quality Management and licensure/accreditation standards.
• Facilitate multi-disciplinary team meetings with physicians, nurses, and therapists.

Skills

Medical case management

Discharge planning

Utilization Review

Leadership

Education

RN licensure

MSW degree

Job description

Overview

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Director of Case Management

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.

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.

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.

Qualifications

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 qualificationsthat will make you successful:

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

Additional Data

General Benefits Full-time

• Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
• Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
• Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members
• Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
• Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

Equal opportunity employer, including disabled veterans