Inpatient Case Manager (PRN) — Discharge & Utilization

Select Specialty Hospital; Atlanta (GA); On-site; USD 50,000 - 70,000; Part time

Job summary

Select Specialty Hospital in Atlanta is seeking a Case Manager (PRN) to support critical illness recovery services. Requires current licensure in nursing, respiratory therapy, or social work per state guidelines.

Prior discharge planning experience is highly preferred, with availability for at least 2 shifts per month on weekdays 8 a.m.–5 p.m. You will manage utilization reviews, coordinate with payors for reimbursement, develop patient-focused discharge plans, ensure regulatory compliance, and

Qualifications

• Current licensure in a clinical discipline (RN/LPN/LVN or RT) or SW/MSW per state guidelines.
• Inpatient hospital experience in critical care/acute care settings.
• Experience in acute medical case management and coordinating plan of care for chronically ill patients.

Responsibilities

• Develops and implements a patient specific, safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Coordinates with payor sources to assure proper reimbursement for hospital provided services and promote cost-conscious care within the plan of care.
• Demonstrates compliance with facility-wide Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management to assure licensure and accrediting requirements are fulfilled.
• Maintains fiscal responsibilities and maximizes insurance benefit coverage for the patient.
• Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Skills

Discharge planning

Utilization reviews

Inpatient case management

Social work licensure

Job description

Select Specialty Hospital in Atlanta is seeking a Case Manager (PRN) to support critical illness recovery services. Requires current licensure in nursing, respiratory therapy, or social work per state guidelines.

Prior discharge planning experience is highly preferred, with availability for at least 2 shifts per month on weekdays 8 a.m.–5 p.m. You will manage utilization reviews, coordinate with payors for reimbursement, develop patient-focused discharge plans, ensure regulatory compliance, and