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

Select Specialty Hospital - Cleveland Fairhill • Shaker Heights, OH

11d • Onsite

About The Position

Select Specialty Hospital is a critical illness recovery hospital providing inpatient post-ICU services to chronically and critically ill patients who need extended healing and recovery. The Case Manager works on an as-needed basis and is responsible for utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The role may also provide social work services as necessary under state guidelines. The Case Manager reports directly to the Director of Case Management.

The position requires availability for at least two shifts per month. Shifts are scheduled on weekdays and run approximately 8 a.m. to 5 p.m. The hospital describes its team as focused on compassionate, high-quality care and improving patients’ quality of life.

Requirements

• Current licensure in a clinical discipline as a nurse (RN, LPN, or LVN) or respiratory therapist, or a current social work license/certification as permitted by state guidelines.
• Previous RN, LPN, RT, SW, or case management experience in an inpatient hospital setting caring for critical-care or acute-care patients, such as ICU, step-down, medical-surgical, or ventilator patients.
• Adequate experience in an acute medical case management setting and confidence managing and directing a plan of care for chronically critically ill populations.
• Availability to work a minimum of two shifts per month on an as-needed basis; shifts are scheduled on weekdays, approximately 8 a.m. to 5 p.m.

Nice To Haves

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

Responsibilities

• Develop and implement patient-specific, safe, and timely discharge plans.
• Perform utilization criteria reviews.
• Build relationships and coordinate with payor sources to support appropriate reimbursement for hospital services.
• Promote cost-attentive care through resource management within the plan of care.
• Comply with facility-wide Utilization Management policies and procedures.
• Coordinate utilization review compliance with Quality Management to meet licensure and accreditation requirements.
• Maintain fiscal responsibilities, identify and negotiate available reimbursement, and maximize insurance benefit coverage for patients.
• Review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Complete medical record documentation.
• Provide social work services as necessary, consistent with state guidelines.

Benefits

• Extensive orientation program.
• Potential opportunity for advancement to a full-time position.
• Benefits supporting financial, work/life, and emotional well-being of employees and family members.
• 401(k) eligibility for part-time/per-diem employees upon reaching 1,000 hours within their first anniversary or subsequent calendar year.
• Employee assistance program for part-time employees.

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed