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

Select Medical • Battle Creek, MI

3d

About The Position

Select Specialty Hospital is a Critical Illness Recovery Hospital (LTACH) providing inpatient post-ICU services to chronically critically ill patients who need extended healing and recovery. The Case Manager is a PRN, as-needed role responsible for utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The position provides social work services as necessary and 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 reimbursement and cost-conscious care; and complies with facility utilization management policies. The role works with Quality Management to support licensure and accreditation requirements, maintains fiscal responsibilities, and helps identify and negotiate available reimbursement and insurance benefits. The Case Manager also facilitates multidisciplinary meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists.

The position reports to the Director of Case Management. PRN shifts are scheduled on weekdays, approximately 8 a.m. to 5 p.m., with availability required for at least two shifts per month. The role pays $35 per hour.

Requirements

• Current licensure in a clinical discipline as a nurse (RN, LPN, or LVN) or respiratory therapist, or a current social work license/certification as required by state guidelines.
• Experience as an RN, LPN, RT, SW, or case manager 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 plans of care for chronically critically ill populations.
• Availability to work at least two as-needed weekday shifts per month, 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.

Responsibilities

• Conduct utilization reviews and manage resources.
• Develop and implement patient-specific, safe, and timely discharge plans.
• Manage treatment plans and complete medical record documentation.
• Verify utilization criteria and comply with facility-wide utilization management policies and procedures.
• Coordinate with payor sources to support appropriate reimbursement and cost-conscious care.
• 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 and in accordance with state guidelines.

Benefits

• Extensive orientation program.
• Potential opportunity for advancement to a full-time position.
• Benefits supporting financial, work/life, and emotional well-being of employees and their families.
• 401(k) eligibility for part-time/per-diem employees who reach 1,000 hours within their first anniversary or a subsequent calendar year.
• Employee assistance program for part-time employees.

What This Job Offers

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