Case Manager ( RN / RT / SW / LPN )

Select Specialty Hospital - Harrisburg • Harrisburg, PA

9d • $70,000 - $97,000

About The Position

Select Specialty Hospital is a critical illness recovery hospital (LTACH) providing inpatient post-ICU services to chronically and critically ill patients who need extended healing and recovery. The Case Manager supports patients through this recovery by providing compassionate, high-quality care and helping improve their quality of life.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management, 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 a full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. The salary range is $70,000–$97,000, based on relevant prior work experience.

Requirements

• Current licensure in a clinical discipline as a nurse (RN/LPN/LVN) or respiratory therapist (RT), or a current social work license/certification as required by state guidelines.
• Previous RN, LPN, RT, SW, or Case Manager experience in an inpatient hospital setting serving critical-care or acute-care patients, such as ICU, step-down, medical-surgical, or ventilator patients.

Nice To Haves

• RN licensure is preferred.
• Specific experience in care management and discharge planning is preferred.
• Working knowledge of the insurance industry and government reimbursement.

Responsibilities

• Develop and implement a patient-specific, safe, and timely discharge plan.
• Perform verification of utilization criteria reviews.
• Build relationships and coordinate with payor sources to support proper reimbursement for hospital services.
• Promote 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 fulfill licensure and accrediting requirements.
• Maintain fiscal responsibilities and identify and negotiate the fullest possible reimbursement to maximize insurance benefit coverage for patients.
• Review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings involving physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Complete medical record documentation and provide social work services as necessary, per state guidelines.

Benefits

• Extensive orientation program.
• Generous paid time off and paid sick time for full-time team members.
• Medical and prescription coverage, health plan offerings, vision, dental, and employee assistance program.
• Company-matching 401(k) retirement plan.
• Life and disability protection for full-time team members.

What This Job Offers

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