LPN )

Select Medical•Rochelle Park, NJ

6d•Onsite

About The Position

Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) is seeking a PRN Case Manager. This role is for a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. The Case Manager will play a central role in providing compassionate, excellent care during vulnerable moments. We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.

Requirements

Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN) or a Respiratory Therapist OR current license / certified Social Work license per state guidelines
Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients. (example: ICU, step-down, med surg, vents)
Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations

Nice To Haves

Specific experience in Care Management and Discharge Planning is preferred.
Working knowledge of the insurance industry and government reimbursement.
Previous discharge planning experience highly preferred.

Responsibilities

Responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation.
Develops and implements a patient specific, safe and timely discharge plan.
Performs verification of utilization criteria reviews.
Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
Demonstrates compliance with facility-wide Utilization Management policies and procedures.
Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities.
Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient.
Reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.