Case Manager / PRN ( RN / RT / SW / LPN )

Case Manager / PRN ( RN / RT / SW / LPN ) Position at Select Specialty Hospital, a Critical Illness Recovery Hospital (LTACH) in Florida. Requires current licensure in a clinical discipline – nurse (RN, LPN, LVN), respiratory therapist, or licensed social work professional. Shift availability: minimum 2 shifts per month, weekdays approximately 8 a.m.–5 p.m., on an "as needed" basis. Prior discharge planning experience preferred. About the Hospital Selective specialty hospital committed to world‑class inpatient post‑ICU services for chronically critically ill patients, providing compassionate, excellent care during vulnerable moments. Responsibilities Develop and implement patient‑specific, safe and timely discharge plans. Perform verification of utilization criteria reviews. Coordinate with payor sources to assure proper reimbursement and promote cost‑attentive care through resource management. Demonstrate compliance with utilization management policies and procedures. Coordinate UR compliance with Quality Management to ensure licensure and accrediting requirements are met. Maintain fiscal responsibilities, identify and negotiate reimbursement to maximize insurance benefit coverage, review insurance verification forms to minimize risk. Facilitate multidisciplinary team meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists. Complete medical record documentation. Report directly to the Director of Case Management and provide social work services as required per state guidelines. Qualifications Current licensure in a clinical discipline: RN, LPN, LVN, respiratory therapist, or licensed social work professional. Previous inpatient hospital experience with critical/acute care patients (e.g., ICU, step‑down, med‑surg, ventilator support). Experience in an acute medical case management setting and confidence to manage and direct care plans for chronically critically ill populations. Preferred Qualifications Specific experience in care management and discharge planning. Working knowledge of the insurance industry and government reimbursement. Availability for at least 2 shifts per month on an "as needed" basis, weekdays 8 a.m.–5 p.m. Seniority Level Mid‑Senior level Employment Type Full‑time Job Function Health Care Provider Industries Hospitals and Health Care #J-18808-Ljbffr