Case Manager ( RN / RT / SW / LPN )

Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) Case Manager Full Time: Monday-Friday 8-5pm Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines). Previous Discharge Planning Experience Preferred. Our hospital is a critical illness recovery hospital committed to providing world‑class inpatient post‑ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and our team plays a central role in providing compassionate, excellent care every step of the way. Responsibilities 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, promoting cost‑attentive care via focus on resource management within the plan of care. Demonstrates compliance with facility‑wide Utilization Management policies and procedures. Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled. Maintains fiscal responsibilities, ensuring the department identifies and negotiates the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Facilitates multi‑disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists. Minimum Requirements 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 RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients (e.g., ICU, step‑down, med‑surg, vents). Preferred Qualifications That Will Make You Successful Specific experience in Care Management and Discharge Planning is preferred. Working knowledge of the insurance industry and government reimbursement. #J-18808-Ljbffr Select Medical