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

Select Medical • Omaha, NE

3d

About The Position

Select Specialty Hospital, a critical illness recovery hospital (LTACH), is seeking a PRN Case Manager to support chronically critically ill patients who need extended healing and recovery after intensive care. The role focuses on utilization review and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The Case Manager develops safe, timely, patient-specific discharge plans and may provide social work services as permitted by state guidelines. The position reports directly to the Director of Case Management.

This is an as-needed position requiring availability for at least two weekday shifts per month, scheduled approximately 8 a.m. to 5 p.m. The hospital describes its work as providing compassionate, high-quality inpatient post-ICU care and emphasizes putting patients first, improving community quality of life, continuing to develop and explore ideas, and doing what is right.

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 required by state guidelines.
• Previous RN, LPN, RT, SW, or case management experience in an inpatient hospital setting with critical care or acute care patients, such as ICU, step-down, medical-surgical, or ventilator care.
• Adequate experience in acute medical case management and confidence managing and directing a plan of care for chronically critically ill patients.
• Availability to work at least 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.
• Previous discharge planning experience is highly preferred.

Responsibilities

• Develop and implement safe, timely, patient-specific discharge plans.
• Perform utilization criteria reviews and manage resources.
• Manage treatment plans and complete medical record documentation.
• Coordinate with payor sources to support appropriate reimbursement and resource-conscious 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 and identify and negotiate available reimbursement to maximize patients’ insurance benefit coverage.
• Review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings involving physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Provide social work services as necessary and in accordance with state guidelines.

Benefits

• Extensive orientation program.
• Potential opportunity for advancement to a full-time position.
• Benefits intended to support employees’ and family members’ financial, work/life, and emotional well-being.
• 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 available to part-time employees.

What This Job Offers

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