Case Manager ( RN / RT / SW / LPN )

Select Medical • Harrisburg, PA

8d

About The Position

Select Specialty Hospital, a critical illness recovery hospital (LTACH), is seeking a full-time Case Manager to support chronic, critically ill patients who require extended healing and recovery after intensive care. The position is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m., with a salary range of $70,000–$97,000 based on relevant work experience.

The Case Manager manages utilization reviews and resources, discharge planning, treatment plans, financial management, and medical record documentation. The role develops safe, timely, patient-specific discharge plans; coordinates with payors to support reimbursement and resource-conscious care; and collaborates with a multidisciplinary team. The Case Manager reports directly to the Director of Case Management and provides social work services as necessary under state guidelines.

Requirements

• Current licensure in a clinical discipline as a nurse (RN/LPN/LVN) or respiratory therapist (RT), or a current social work license or certification as required by state guidelines.
• Experience as an RN, LPN, RT, social worker, or case manager in an inpatient hospital setting caring for critical-care or acute-care patients, such as ICU, step-down, medical-surgical, or ventilator patients.

Nice To Haves

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

Responsibilities

• Manage utilization reviews, resource management, discharge planning, treatment plans, financial management, and medical record documentation.
• Develop and implement safe, timely, patient-specific discharge plans.
• Verify utilization criteria.
• Build relationships and 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 licensure and accreditation requirements.
• Maintain fiscal responsibilities and identify and negotiate available reimbursement to maximize insurance benefit coverage for patients.
• 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, according to state guidelines.

Benefits

• Extensive orientation program
• Generous paid time off and paid sick time
• Medical and prescription drug plans
• Health, vision, and dental plans
• Employee assistance program
• 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