Case Manager ( RN / RT / SW / LPN )

Select Specialty Hospital - Fort Myers • Fort Myers, FL

23h • $71,000 - $95,000

About The Position

Select Specialty Hospital is a Critical Illness Recovery Hospital (LTACH) providing inpatient post-ICU services to chronically and critically ill patients who need extended healing and recovery. The Case Manager supports patients through discharge planning, utilization review, resource and financial management, treatment plan management, and medical record documentation. The role provides social work services as necessary, in accordance with state guidelines, and reports directly to the Director of Case Management.

This is a full-time position scheduled Monday through Friday, 8 a.m. to 5 p.m. The listed salary range is $71,000–$95,000, based on relevant years of experience. Candidates must hold current licensure in a clinical discipline as a nurse, respiratory therapist, or social worker, and must have experience with inpatient hospital patients requiring critical or acute care.

Requirements

• Current licensure in a clinical discipline as a nurse or respiratory therapist, with RN preferred, or a current social work license or 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.

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.
• Build relationships and coordinate with payor sources to support proper reimbursement and 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 fulfill licensure and accreditation requirements.
• Maintain fiscal responsibilities, identify and negotiate available reimbursement to 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 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, prescription, health, vision, employee assistance program, and dental plan offerings for full-time team members.
• Company-matching 401(k) retirement plan.
• Life and disability protection for full-time team members.

What This Job Offers

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