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

Inova Specialty Hospital • VA

74d

About The Position

Select Specialty 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.

Requirements

• Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN) or a Respiratory Therapist 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.
• Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations.

Nice To Haves

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

Responsibilities

• Responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management.
• Completes medical record documentation.
• 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.
• Promotes 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 and assures the department is identifying and negotiating 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.

Benefits

• Extensive orientation program to ensure a smooth transition into our setting.
• Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities.
• Benefits which support the financial, work/life and emotional well-being of you and your family members.
• Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year.
• Employee assistance program to part time employees.

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees