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

Select Specialty Hospital - Battle Creek • Bedford Charter Township, MI

4d

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 require extended healing and recovery after intensive care. The hospital provides inpatient post-ICU services and emphasizes compassionate, high-quality care.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The role may also provide social work services as permitted by state guidelines. The position reports directly to the Director of Case Management and is scheduled on an as-needed basis, with a minimum availability of two weekday shifts per month, approximately 8 a.m. to 5 p.m.

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 with 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 and 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; shifts are scheduled 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.

Responsibilities

• Develop and implement patient-specific, safe, and timely discharge plans.
• Perform verification of utilization criteria reviews.
• Coordinate with payor sources to support appropriate 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, identify and negotiate available reimbursement, maximize insurance benefit coverage, and review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings involving physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Complete medical record documentation and manage treatment plans.
• Provide social work services as necessary, in accordance with state guidelines.

Benefits

• Extensive orientation program.
• Potential advancement to full-time opportunities.
• Benefits supporting financial, work/life, and emotional well-being of employees and family members.
• 401(k) eligibility for part-time/per-diem employees upon reaching 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