Case Manager ( RN / RT / SW / LPN )

Select Medical • Fort Myers, FL

108d

About The Position

The Case Manager at Select Specialty Hospital and Regency Hospitals is responsible for managing the care of chronically and critically ill or post-ICU patients who require extended hospital care. This role requires a current licensure in a clinical discipline, either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) or Medical Social Work, as per state guidelines. The Case Manager will engage in utilization reviews, resource management, discharge planning, treatment plan management, and financial management, while also ensuring compliance with facility-wide Utilization Management policies and procedures. The position involves building relationships with payor sources to assure proper reimbursement for hospital services and facilitating multi-disciplinary team meetings.

Requirements

• Current licensure in a clinical discipline (Nurse or Respiratory Therapist) or Social Work license per state guidelines.
• Previous experience in an inpatient hospital setting dealing with critical care/acute care patients.
• Experience in Care Management and Discharge Planning preferred.

Nice To Haves

• Working knowledge of the insurance industry and government reimbursement.

Responsibilities

• Conduct utilization reviews and resource management.
• Manage discharge planning and treatment plans.
• Complete medical record documentation.
• Develop and implement patient-specific discharge plans.
• Perform verification of utilization criteria reviews.
• Coordinate with payor sources for reimbursement.
• Ensure compliance with Utilization Management policies.
• Maintain fiscal responsibilities and maximize insurance benefits.
• Facilitate multi-disciplinary team meetings.

Benefits

• Monday through Friday schedule.
• Six paid holidays.
• Unlimited employee referral bonus incentives ($500-$5000 per new hire).
• Paid Time Off (PTO) and Extended Illness Days (EID).
• Health, Dental, and Vision insurance.
• Life insurance and Prescription coverage.
• 401(k) retirement plan with company match.
• Short and Long Term Disability.
• Personal and Family Medical Leave.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: Bachelor's degree