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

Select Specialty Hospital - Madison • Madison, WI

5d

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 require extended healing and recovery after intensive care. The role focuses on utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The Case Manager also provides social work services as necessary and as permitted by state guidelines.

The position is as-needed, with a minimum availability of two weekday shifts per month, approximately 8 a.m. to 5 p.m. The stated pay is $40 per hour. The Case Manager reports directly to the Director of Case Management and works with a multidisciplinary care team to help coordinate appropriate, safe, and timely patient care and discharge planning.

Requirements

• Current licensure in a clinical discipline as a Nurse (RN/LPN/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 patients.
• Adequate experience in acute medical case management 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

• 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 patient-specific, safe, and timely discharge plans.
• Perform verification of utilization criteria reviews.
• Build relationships and 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 to maximize insurance benefit coverage, and review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings involving physicians, nurses, respiratory therapists, and rehabilitation therapists.
• 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 of employees and their family members.
• 401(k) eligibility for part-time/per-diem employees after 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