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

Select Medical • Madison, WI

4d

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 Case Manager supports patients through this recovery by managing utilization reviews and resources, discharge planning, treatment plans, financial matters, and medical record documentation. The role may provide social work services as necessary under applicable state guidelines.

This is a PRN, as-needed position requiring availability for at least two weekday shifts per month, typically from approximately 8 a.m. to 5 p.m. The Case Manager reports directly to the Director of Case Management. The position pays $40 per hour.

Requirements

• Current licensure in a clinical discipline as a nurse (RN, LPN, or LVN), respiratory therapist, or social worker, as applicable under 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, 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, scheduled on weekdays, approximately 8 a.m. to 5 p.m.

Nice To Haves

• Previous discharge planning experience.
• 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 verification of utilization criteria reviews.
• Build relationships and coordinate with payor sources to support appropriate 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 and help identify and negotiate available reimbursement to maximize patients’ insurance benefit coverage.
• Review 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 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 family members.
• 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 for part-time employees.

What This Job Offers

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