Per Diem Case Manager – Discharge & Utilization

Rush University Medical Center; Ypsilanti (MI); On-site; USD 39,000 - 55,000; Part time

Benefits offered by this job

Extensive orientation program

Advancement opportunities

Part time/Per Diem with 401k benefits

Employee assistance program

Job summary

Rush University Medical Center is seeking a Case Manager (PRN) to support a Critical Illness Recovery Hospital (LTACH) setting. You will handle discharge planning, utilization reviews, and social work services under state guidelines, coordinating with payors for optimal reimbursement.

The role requires current licensure in a clinical discipline (RN/LPN/ LVN/RT) or SW/MSW, with prior inpatient discharge planning experience preferred. Shifts are weekdays, 8 a.m.–5 p.m., as needed.

Qualifications

• Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN) or a Respiratory Therapist OR Social Work SW/MSW (state guidelines).
• Previous RN/LPN/RT/SW/CM inpatient hospital experience in critical care/acute care settings.
• Adequate experience in an acute medical case management setting and managing a plan of care for chronically critically ill populations.

Responsibilities

• Develops and implements a patient-specific, safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Builds relationships with payor sources to assure proper reimbursement.
• Demonstrates compliance with Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management and licensure/accrediting requirements.
• Maintains fiscal responsibilities and maximizes insurance benefits.
• Facilitates multi-disciplinary team meetings including physicians and therapists.

Skills

RN/LPN/RT/SW license

Discharge planning

Inpatient case management

Job description

Rush University Medical Center is seeking a Case Manager (PRN) to support a Critical Illness Recovery Hospital (LTACH) setting. You will handle discharge planning, utilization reviews, and social work services under state guidelines, coordinating with payors for optimal reimbursement.

The role requires current licensure in a clinical discipline (RN/LPN/ LVN/RT) or SW/MSW, with prior inpatient discharge planning experience preferred. Shifts are weekdays, 8 a.m.–5 p.m., as needed.