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

Select Specialty Hospital - Tucson • Oro Valley, AZ

4d • Onsite

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 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 under state guidelines.

This PRN position pays $42 per hour and requires availability for at least two shifts per month on an as-needed basis. Shifts are scheduled on weekdays, approximately 8 a.m. to 5 p.m. The Case Manager reports directly to the Director of Case Management and works with a multidisciplinary team to support safe, timely, high-quality patient care.

Requirements

• Current licensure in a clinical discipline as a nurse (RN, LPN, or LVN), respiratory therapist, or social worker, according to state guidelines.
• Experience as an RN, LPN, RT, SW, or case manager in an inpatient hospital setting serving critical care or acute care patients, such as ICU, step-down, med-surg, or ventilator patients.
• Adequate experience in acute medical case management and confidence managing and directing a plan of care for chronically critically ill populations.
• Availability to work a minimum of two shifts per month on an as-needed basis, scheduled on weekdays approximately 8 a.m. to 5 p.m.

Nice To Haves

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

Responsibilities

• Develop and implement patient-specific, safe, and timely discharge plans.
• Perform utilization criteria reviews.
• Build relationships and coordinate with payor sources to support proper reimbursement and 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 meet licensure and accrediting requirements.
• Maintain fiscal responsibilities, identify and negotiate reimbursement to maximize insurance benefit coverage, and review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Complete medical record documentation and provide social work services as necessary under state guidelines.

Benefits

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

What This Job Offers

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