Inpatient Case Manager (RN/RT/SW/LPN) Discharge Planning

Select Specialty Hospital; Augusta (GA); On-site; USD 52,000 - 76,000; Full time

Job summary

Select Specialty Hospital in Augusta, GA is seeking a Case Manager to oversee utilization reviews, discharge planning, and treatment plan management for chronically ill post-ICU patients. The role supports high-quality inpatient care and requires licensure in a clinical discipline or a Social Work license per state guidelines.

Responsibilities include coordinating with payors for proper reimbursement, ensuring accurate medical record documentation, and leading multidisciplinary team meetings

Qualifications

• Current licensure in a clinical discipline per state guidelines.
• Inpatient hospital experience in critical care preferred.
• Experience with discharge planning and utilization reviews preferred.

Responsibilities

• Develops patient-specific, safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Coordinates with payor sources to maximize reimbursement.
• Demonstrates compliance with Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management to meet licensure/accreditation requirements.
• Maintains fiscal responsibilities and reviews insurance verification forms.
• Facilitates multi-disciplinary team meetings including physicians and nurses.

Skills

Discharge planning

Utilization reviews

Resource management

Collaboration

Communication

Education

RN/LPN/LVN license

Respiratory Therapist license

Social Work license

Job description

Select Specialty Hospital in Augusta, GA is seeking a Case Manager to oversee utilization reviews, discharge planning, and treatment plan management for chronically ill post-ICU patients. The role supports high-quality inpatient care and requires licensure in a clinical discipline or a Social Work license per state guidelines.

Responsibilities include coordinating with payors for proper reimbursement, ensuring accurate medical record documentation, and leading multidisciplinary team meetings