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

RUSH Specialty Hospital Inpatient Rehabilitation•Chicago, IL

About The Position

Select Specialty Hospital is a critical illness recovery hospital providing inpatient post-ICU services to chronically critically ill patients who need extended healing and recovery. The PRN Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The position may also provide social work services as necessary under state guidelines. The Case Manager reports directly to the Director of Case Management. The role requires availability to work 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 stated pay is $40 per hour. The hospital describes its work as providing compassionate, high-quality care to patients during vulnerable periods of recovery.

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.
  • Previous RN, LPN, respiratory therapist, social work, or case management experience 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 a plan of care for chronically critically ill populations.
  • Availability to work a minimum of two shifts per month on an as-needed basis; shifts are scheduled 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 a patient-specific, safe, and timely discharge plan.
  • Perform verification of utilization criteria reviews.
  • Coordinate with payor sources to support proper 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 accrediting requirements.
  • Maintain fiscal responsibilities, including identifying and negotiating available reimbursement to maximize insurance benefit coverage and reviewing insurance verification forms to minimize risk.
  • Facilitate multidisciplinary team meetings involving physicians, nurses, respiratory therapists, and rehabilitation therapists.
  • 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 of 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.
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