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

Select Medical • Erie, PA

17h • 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 provides utilization review and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The role may also provide social work services as permitted by state guidelines.

The Case Manager develops and implements patient-specific, safe, and timely discharge plans; verifies utilization criteria; coordinates with payors to support appropriate reimbursement and resource-conscious care; and ensures compliance with facility utilization management policies and applicable quality, licensing, and accreditation requirements. The position helps identify and negotiate available insurance reimbursement, reviews insurance verification forms, and facilitates multidisciplinary team meetings.

This is a PRN, as-needed role requiring availability for at least two weekday shifts per month, generally from approximately 8 a.m. to 5 p.m. The Case Manager reports directly to the Director of Case Management.

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 the ability to manage and direct a plan of care for chronically critically ill populations.
• Availability to work at least two shifts per month on an as-needed basis, 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.

Responsibilities

• Develop and implement patient-specific, safe, and timely discharge plans.
• Perform utilization criteria reviews and resource management.
• 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 licensing and accreditation requirements.
• Maintain fiscal responsibilities and identify and negotiate available reimbursement to maximize insurance benefit coverage.
• Review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings with 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 role.
• Benefits supporting financial, work/life, and emotional well-being of employees and their families.
• 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