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

Select Medical • Florence, SC

1d • Onsite

About The Position

Select Specialty Hospital, a Critical Illness Recovery Hospital (LTACH), is seeking a PRN Case Manager to support chronically critically ill patients who need extended healing and recovery after intensive care. The Case Manager manages utilization reviews, resources, discharge planning, treatment plans, finances, and medical record documentation. The role provides social work services as needed and in accordance with state guidelines. The position reports directly to the Director of Case Management.

The Case Manager develops and implements safe, timely, patient-specific discharge plans; verifies utilization criteria; coordinates with payors to support appropriate reimbursement and resource-conscious care; and ensures compliance with facility utilization-management policies and applicable quality, licensing, and accreditation requirements. The role also supports the department’s financial responsibilities, reviews insurance verification forms, seeks to maximize patients’ insurance benefit coverage, and facilitates multidisciplinary team meetings.

This is an as-needed PRN position requiring availability for at least two weekday shifts per month, approximately 8 a.m. to 5 p.m. The employer describes an extensive orientation program, potential advancement to full-time opportunities, and well-being support for employees and their families. Part-time and per-diem employees may qualify for a 401(k) after meeting the stated hours threshold and have access to the employee assistance program.

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, RT, SW, or case-management experience in an inpatient hospital setting serving critical-care or acute-care patients, such as ICU, step-down, medical-surgical, or ventilator care.
• Adequate experience in acute medical case management and confidence managing and directing plans of care for chronically critically ill populations.
• Availability to work at least two shifts per month on an as-needed basis; shifts are scheduled on weekdays and are 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.
• Previous discharge-planning experience.

Responsibilities

• Manage utilization reviews, resource management, discharge planning, treatment plans, and financial management; complete medical record documentation.
• Provide social work services as necessary, in accordance with state guidelines.
• Develop and implement patient-specific, safe, and timely discharge plans.
• Verify utilization criteria through reviews.
• Coordinate with payor sources to support proper reimbursement and resource-conscious care within the plan of care.
• Comply with facility-wide Utilization Management policies and procedures.
• Coordinate utilization-review compliance with Quality Management to fulfill licensing and accreditation requirements.
• Maintain fiscal responsibilities and seek 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.

Benefits

• Extensive orientation program.
• Potential opportunity to advance to a full-time position.
• Benefits supporting employees’ and family members’ financial, work/life, and emotional well-being.
• 401(k) eligibility for part-time/per-diem employees after 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