Inpatient Case Manager – Discharge & Utilization

Select Specialty Hospital - Fort Myers; Fort Myers (FL); On-site; USD 71,000 - 95,000; Full time

Benefits offered by this job

Orientation program

PTO & sick time

Health benefits

401(k) plan

Career growth opportunities

Job summary

Select Specialty Hospital, a Critical Illness Recovery LTACH, is seeking a Case Manager for a full-time, Monday–Friday 8–5 schedule. You will lead discharge planning, perform utilization reviews, manage treatment plans, and provide social work services per state guidelines, reporting to the Director of Case Management.

The ideal candidate holds current licensure in nursing (RN/LPN/LVN) or respiratory therapy, or a social work license per state guidelines, with prior discharge planning experience

Qualifications

• 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 inpatient hospital experience in care management / discharge planning is preferred.

Responsibilities

• Develops and implements a patient-specific, safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Coordinate with payor sources to assure proper reimbursement for hospital services.
• Demonstrates compliance with facility-wide Utilization Management policies.
• Coordinates UR compliance with Quality Management to fulfill licensure/accrediting requirements.
• Maintains fiscal responsibilities and reviews insurance verification forms to minimize risk.
• Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Job description

Select Specialty Hospital, a Critical Illness Recovery LTACH, is seeking a Case Manager for a full-time, Monday–Friday 8–5 schedule. You will lead discharge planning, perform utilization reviews, manage treatment plans, and provide social work services per state guidelines, reporting to the Director of Case Management.

The ideal candidate holds current licensure in nursing (RN/LPN/LVN) or respiratory therapy, or a social work license per state guidelines, with prior discharge planning experience