Case Manager ( RN / RT / SW / LPN )

Select Medical • Akron, OH

8h

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 need extended healing and recovery after intensive care. The role is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m., with a salary of $71,000–$95,000 based on relevant work experience.

The Case Manager manages utilization reviews and resources, discharge planning, treatment plans, financial matters, and medical-record documentation. The position develops and implements safe, timely, patient-specific discharge plans; coordinates with payors to support reimbursement and resource-conscious care; and helps ensure compliance with utilization-management and quality requirements. The Case Manager also facilitates multidisciplinary team meetings and provides social work services when required by state guidelines. This position reports to the Director of Case Management.

Requirements

• Current licensure in a clinical discipline as a nurse (RN/LPN/LVN) or respiratory therapist (RT), or a social work license/certification in accordance with 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 ventilated patients.

Nice To Haves

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

Responsibilities

• Manage utilization reviews and resource management, discharge planning, treatment plans, and financial management.
• Complete medical-record documentation.
• Develop and implement patient-specific, safe, and timely discharge plans.
• Verify 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 meet licensure and accreditation requirements.
• Maintain fiscal responsibilities.
• Identify and negotiate available 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.
• Provide social work services as necessary and in accordance with state guidelines.

Benefits

• Extensive orientation program.
• Generous paid time off and paid sick time for full-time team members.
• Medical and prescription drug, health, vision, and dental plan offerings for full-time team members.
• 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