Case Manager ( RN / RT / SW / LPN )

Select Medical • Detroit, MI

1d

About The Position

Select Specialty Hospital, a Critical Illness Recovery Hospital (LTACH), is seeking a full-time Case Manager to support patients requiring extended healing and recovery after intensive care. The role is scheduled Monday through Friday, 8 a.m. to 5 p.m. Pay is based on relevant prior experience, with a stated range of $72,000–$105,000.

The Case Manager manages utilization reviews and resources, discharge planning, treatment plans, financial matters, and medical record documentation. The role develops patient-specific, safe, and timely discharge plans; coordinates utilization review compliance; and works with payors to support reimbursement and resource-conscious care. The Case Manager also facilitates multidisciplinary team meetings and provides social work services as needed, in accordance with state guidelines. The position reports to the Director of Case Management.

Requirements

• Current licensure in a clinical discipline as a nurse (RN/LPN/LVN) or respiratory therapist, or a current social work license/certification in accordance with state guidelines.
• Previous RN, LPN, RT, SW, or case management experience in an inpatient hospital setting caring for critical-care or acute-care patients, such as ICU, step-down, medical-surgical, or ventilator patients.

Nice To Haves

• RN licensure is preferred.
• 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 plan management, 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 and resource-conscious 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 identify and negotiate 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, per state guidelines.

Benefits

• Extensive orientation program
• Generous paid time off and paid sick time for full-time team members
• Medical and prescription coverage
• Health plan offerings
• Vision insurance
• Employee assistance program
• Dental plan offerings
• Company-matching 401(k) retirement plan
• Life and disability protection

What This Job Offers

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