RN - Case Manager (IRF) - Houston, TX - RPTX

Job Description

Job Description

Job Title: RN Case Manager – IRF Setting
Location: Houston, TX
Job Type: Contract
Duration: 13 Weeks
Shift & Schedule: Days | 8:00 AM – 5:00 PM | Monday – Friday | 40 Hours/Week | Weekend & After-Hours Admissions as Needed
Local Candidates Required: Yes
Traveler Candidates Required: Yes

Pay Rate
Local: $50 – $54/hour
Traveler: $55 – $60/hour

Note: This job doesn't offer any benefits.

Position Overview
We are seeking an experienced RN Case Manager to coordinate discharge planning, continued-stay authorizations, and patient transitions in an inpatient rehabilitation setting.

Required Qualifications

• Active Texas RN License.

• BLS certification.

• Minimum 2 years of experience in acute care case management, inpatient rehabilitation case management, or utilization review.

• Strong knowledge of discharge planning and continued-stay authorization processes.

• Interview required.

• Ability to work Monday through Friday, 8:00 AM – 5:00 PM, with flexibility for weekend and after-hours admissions.

Preferred Qualifications

• Experience with insurance payer portals.

• Experience with WellSky EMR.

Responsibilities

• Manage case management activities for patients in an Inpatient Rehabilitation Facility (IRF).

• Complete initial discharge planning assessments within 2 days of admission.

• Participate in the initial interdisciplinary team meeting by day four and weekly thereafter.

• Coordinate discharge needs, including home health, outpatient therapy, durable medical equipment, dialysis arrangements, and post-discharge follow-ups at 72 hours and 30 days.

• Complete continued-stay payer reviews and authorization processes.

• Use payer portals, including Availity and Home & Community, for authorization reviews.

• Re-issue the Important Message from Medicare (IMM) as required.

• Coordinate with physicians, nursing staff, therapy teams, patients, families, insurers, and interdisciplinary team members.

• Support timely patient transitions and discharge planning.

• Maintain accurate case management documentation in WellSky.

• Manage a fast-paced environment with an average patient length of stay of approximately 11.2 days.

• Provide weekend and after-hours admission coverage as needed.