Case Manager ( RN / RT / SW / LPN )

Select Medical • Battle Creek, MI

13h • Onsite

About The Position

Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) is seeking a full-time Case Manager. This role is responsible for utilization reviews and resource management, discharge planning, treatment plan management, and financial management, while also completing medical record documentation. The Case Manager reports directly to the Director of Case Management and provides social work services as necessary, per state guidelines. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.

Requirements

• Current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).
• Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients. (example: ICU, step-down, med surg, vents)

Nice To Haves

• Previous discharge planning experience preferred.
• Specific experience in Care Management and Discharge Planning is preferred.
• Working knowledge of the insurance industry and government reimbursement.

Responsibilities

• Develops and implements a patient specific, safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
• Demonstrates compliance with facility-wide Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
• Maintains fiscal responsibilities.
• Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient.
• Reviews insurance verification forms to minimize risk.
• Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Benefits

• Extensive and thorough orientation program
• Generous PTO and Paid Sick Time
• Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings
• Company-matching 401(k) retirement plan
• Life and disability protection

What This Job Offers

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