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

Select Medical - Camp Hill, PA

Full-time - Entry Level

Camp Hill, PA

10,001+ employees

Ambulatory Health Care Services

About the position

The Case Manager (PRN) at Select Specialty Hospital is responsible for overseeing utilization reviews, discharge planning, treatment plan management, and financial management for critically ill or post-ICU patients. This role requires a current clinical licensure and previous experience in critical care settings. The Case Manager will work on an as-needed basis, providing essential social work services and ensuring compliance with facility policies while promoting quality patient care.

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.
• 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 and negotiates the fullest possible reimbursement for patients.
• Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Requirements

• Current licensure in a clinical discipline as a Nurse (RN/LPN/LVN) or a Respiratory Therapist, or a current Social Work license per state guidelines.
• Previous experience in an inpatient hospital setting dealing with critical care/acute care patients.
• Adequate experience in an acute medical case management setting.

Nice-to-haves

• Specific experience in Care Management and Discharge Planning.
• Working knowledge of the insurance industry and government reimbursement.

Benefits

• Work-life balance initiatives
• Diversity and inclusion programs
• Equal opportunity employment