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

Regency Hospital - Florence • Florence, SC

12d

About The Position

Select Specialty Hospital, a critical illness recovery hospital (LTACH), is seeking a PRN Case Manager to support chronic, critically ill patients who require extended healing and recovery after intensive care. The role is responsible for utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The Case Manager also provides social work services as needed, in accordance with state guidelines, and reports directly to the Director of Case Management.

The position is scheduled on an as-needed basis, with availability to work at least two shifts per month. Shifts are scheduled on weekdays and are approximately 8 a.m. to 5 p.m. The hospital describes its mission as providing compassionate, high-quality inpatient post-ICU care and emphasizes putting patients first, improving community quality of life, and developing new ideas.

The role requires current licensure in a clinical discipline as a nurse or respiratory therapist, or social work licensure/certification according to state guidelines. Candidates must have inpatient hospital experience with critical care or acute care patients and adequate experience in acute medical case management. Care management and discharge planning experience, as well as knowledge of insurance and government reimbursement, are preferred.

Requirements

• Current licensure in a clinical discipline as a Nurse (RN, LPN, or LVN) or Respiratory Therapist, or current social work license/certification as required by state guidelines.
• Previous RN/LPN/RT/SW/CM experience 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 an acute medical case management setting.
• Confidence managing and directing a plan of care for chronically critically ill populations.
• Availability to work at least two shifts per month on an as-needed basis, 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.
• Previous discharge planning experience.

Responsibilities

• Develop and implement patient-specific, safe, and timely discharge plans.
• Perform utilization criteria reviews.
• Build relationships and 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 accreditation requirements.
• Maintain fiscal responsibilities, identify and negotiate available reimbursement, maximize insurance benefit coverage for patients, and review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Complete medical record documentation.
• Provide social work services as necessary, consistent with state guidelines.
• Manage utilization reviews, resource management, discharge planning, treatment plans, and financial management.

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 who reach 1,000 hours within their first anniversary or subsequent calendar year.
• Employee assistance program for part-time employees.

What This Job Offers

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