PRN Case Manager: Discharge Planning & Care Coordination

Select Specialty Hospital; Erie (Erie County); On-site; USD 55,104 - 68,880; Full time

Job summary

Select Specialty Hospital is seeking a Case Manager (PRN) to support inpatient post-ICU services. The role requires licensure in a clinical discipline (RN/LPN/LVN/RT) or a SW/MSW, with prior discharge planning experience preferred.

The Case Manager will perform utilization reviews, discharge planning, and social work duties under the Director of Case Management. Responsibilities include developing patient-specific discharge plans, coordinating with payors for reimbursement, ensuring UR

Qualifications

• Current licensure in a clinical discipline either as a RN, LPN, LVN, Respiratory Therapist, or a certified Social Work license per state guidelines.
• Previous discharge planning experience is highly preferred.
• Adequate experience in an acute medical case-management setting and confidence to manage and direct a plan of care for chronically critically ill populations.

Responsibilities

• Utilization reviews and resource management.
• Discharge planning and treatment plan management.
• Financial management and completing medical record documentation.
• Reports directly to the Director of Case Management and provides 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 coordinates with payor sources to assure proper reimbursement for hospital-provided services.
• Demonstrates compliance with facility-wide Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management to fulfill licensure and accrediting requirements.
• Maintains fiscal responsibilities, reviewing insurance verification forms to minimize risk.
• Facilitates multidisciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Job description

Select Specialty Hospital is seeking a Case Manager (PRN) to support inpatient post-ICU services. The role requires licensure in a clinical discipline (RN/LPN/LVN/RT) or a SW/MSW, with prior discharge planning experience preferred.

The Case Manager will perform utilization reviews, discharge planning, and social work duties under the Director of Case Management. Responsibilities include developing patient-specific discharge plans, coordinating with payors for reimbursement, ensuring UR