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

Select Specialty Hospital - Erie • Erie, PA

1d

About The Position

Select Specialty Hospital, a critical illness recovery hospital (LTACH), is seeking a PRN Case Manager to support chronic, critically ill patients who require extended healing and recovery after intensive care. The Case Manager manages utilization reviews and resources, discharge planning, treatment plans, financial management, and medical record documentation. The role also provides social work services as necessary and in accordance with state guidelines. The position reports directly to the Director of Case Management.

This is an as-needed role requiring availability for at least two weekday shifts per month, approximately 8 a.m. to 5 p.m. The hospital describes its work as providing inpatient post-ICU services and compassionate, high-quality care during vulnerable periods of patients’ lives.

Requirements

• Current licensure in a clinical discipline as a Nurse (RN, LPN, or LVN) or Respiratory Therapist, or a current social work license/certification according to 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 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 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

• Previous discharge planning experience.
• 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 verification of utilization criteria reviews.
• Coordinate with payor sources to support proper reimbursement and cost-conscious 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 accrediting requirements.
• Maintain fiscal responsibilities, identify and negotiate available reimbursement, maximize insurance benefit coverage for patients, and review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Manage treatment plans and complete medical record documentation.
• Provide social work services as necessary, per state guidelines.

Benefits

• Extensive orientation program.
• Potential advancement to full-time opportunities.
• Benefits supporting financial, work/life, and emotional well-being for employees and their 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