Post-ICU Case Manager (RN/RT/SW/LPN)

Select Specialty Hospital; Gainesville (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Select Specialty Hospital is seeking a Case Manager for a Full Time role (Mon-Fri, 8-5). The position requires current licensure in a clinical discipline (RN/LPN/LVN) or Respiratory Therapist, or a Social Work license per state guidelines, with inpatient discharge planning experience preferred.

The Case Manager will handle utilization reviews, discharge planning, treatment plan and financial management, and complete medical records documentation, reporting to the Director of Case Management.

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 critical care/acute care settings preferred.

Responsibilities

• Develops and implements a patient specific, safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Builds relationships with payor sources to promote reimbursement for hospital services.
• Ensures compliance with Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management and licensure/accreditation requirements.
• Maintains fiscal responsibilities and maximizes insurance benefit coverage.

Skills

Nursing licensure (RN/LPN/LVN)

Respiratory Therapist license

Medical Social Work license

Job description

Select Specialty Hospital is seeking a Case Manager for a Full Time role (Mon-Fri, 8-5). The position requires current licensure in a clinical discipline (RN/LPN/LVN) or Respiratory Therapist, or a Social Work license per state guidelines, with inpatient discharge planning experience preferred.

The Case Manager will handle utilization reviews, discharge planning, treatment plan and financial management, and complete medical records documentation, reporting to the Director of Case Management.