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

Select Specialty Hospital - Gainesville • Gainesville, FL

3d

About The Position

Select Specialty Hospital, a Critical Illness Recovery Hospital (LTACH), is seeking a PRN Case Manager to support chronically critically ill patients who require extended healing and recovery after intensive care. The hospital is committed to providing compassionate, high-quality inpatient post-ICU services.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The role provides social work services as necessary and in accordance with state guidelines. The position reports directly to the Director of Case Management.

This is an as-needed role requiring availability for at least two weekday shifts per month, approximately 8 a.m. to 5 p.m. The stated pay is $41 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 caring for critical-care or acute-care patients, such as ICU, step-down, medical-surgical, or ventilated 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 at least two shifts per month on an as-needed basis, on weekdays, 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

• Develop and implement patient-specific, safe, and timely discharge plans.
• Perform utilization criteria reviews.
• Build relationships and coordinate with payor sources to support appropriate reimbursement and cost-conscious 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 accreditation requirements.
• Maintain fiscal responsibilities, identify and negotiate available reimbursement to maximize insurance benefit coverage, and review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings involving physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Manage treatment plans and complete medical record documentation.
• Provide social work services as necessary, in accordance with 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 family members.
• 401(k) eligibility for part-time/per-diem employees after reaching 1,000 hours within their first anniversary or 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