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

Select Medical; United States; On-site; USD 120,000 - 170,000; Full time

Benefits offered by this job

Extend orientation program

Generous PTO

Comprehensive benefits

401(k) with company match

Professional growth opportunities

Job summary

Select Specialty Hospital, part of Select Medical, seeks a Director of Case Management to lead UR, discharge planning, and department operations. This role emphasizes clinical leadership, supervision of case management, and collaboration with physicians, nurses, and therapists to optimize patient outcomes.

The ideal candidate will have an RN/RT license or an MSW, with at least three years in medical case management and prior supervisory experience in a hospital setting.

Qualifications

• Current licensure in a clinical or related discipline.
• Minimum three (3) years of medical case management or similar experience.
• Two (2) years of supervisory leadership in case management (internal candidates must be recommended by hospital CEO).

Responsibilities

• Oversee Utilization Review and resource management.
• Lead discharge planning and treatment plan management.
• Monitor financial management and maximize reimbursement.
• Ensure compliance with Utilization Management policies and accreditation requirements.
• Coordinate UR with Quality Management and licensure authorities.
• Facilitate multi-disciplinary team meetings with physicians and therapists.

Skills

Clinical knowledge

Discharge planning

Leadership

Team collaboration

Education

MSW (Master of Social Work)

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 qualifications that will make you successful:

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

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