Licensed Social Worker Case Manager / PRN

Select Medical; San Diego (CA); On-site; USD 59,000 - 84,000; Part time

Benefits offered by this job

401k eligibility

Employee assistance program

Job summary

Select Specialty Hospital - San Diego is seeking a PRN Case Manager to support discharge planning, utilization review, and social work services for chronically critically ill patients. The role is per diem with weekday shifts and requires current licensure in a medical case management setting.

Responsibilities include coordinating with payors for appropriate reimbursement, managing treatment plans, and collaborating with a multidisciplinary team to ensure high-quality inpatient care.

Qualifications

• Current licensure as a social worker or related field.
• Adequate experience in an acute medical case management setting and ability to direct a care plan for chronically critically ill populations.

Responsibilities

• Develops patient-specific discharge plans to ensure safe and timely transitions.
• Performs verification of utilization criteria reviews.
• Coordinates with payor sources to maximize reimbursement and promotes cost-conscious care.
• Ensures compliance with Utilization Management policies and accreditation requirements.
• Maintains social work records and completes medical record documentation.
• Facilitates multi-disciplinary team meetings with physicians, nurses, and therapists.

Skills

Discharge planning

Utilization review

Social work

Job description

Overview

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Case Manager (PRN)

Licensed Social Workers Only

Pay: $52/hr

Previous discharge planning experience highly preferred.

SHIFT:

Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, from appoximately 8a.m.-5p.m.

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.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines.

• Develops and implements a patient specific, safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
• Demonstrates compliance with facility-wide Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management to assure 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

How you will be successful in this environment:

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
• Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations

Preferred qualifications that will make you successful:

• Specific experience in Care Management and Discharge Planning is preferred.
• Working knowledge of the insurance industry and government reimbursement.
• Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, from appoximately 8a.m.-5p.m.

Additional Data

Why Join Us:

• Start Strong: Extensive orientation program to ensure a smooth transition into our setting.
• Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities
• Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part time employees.
• Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

Equal opportunity employer, including disabled veterans

Location : Location US-CA-San Diego

Job ID 383439

Position Type Per Diem

Experience (Years) 0

Category Case Management - Case Manager

Company Select Specialty Hospital - San Diego