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

Select Medical • Ypsilanti, MI

1d • Onsite

About The Position

Select Specialty Hospital is a critical illness recovery hospital providing inpatient post-ICU services to chronically and critically ill patients who need extended healing and recovery. The PRN Case Manager supports patients and their care teams through utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The position may also provide social work services as needed, in accordance with state guidelines. The Case Manager develops and implements patient-specific, safe, and timely discharge plans, and coordinates with payors and multidisciplinary hospital teams to support appropriate care and reimbursement. The position reports directly to the Director of Case Management.

This is an as-needed position requiring availability for at least two weekday shifts per month, scheduled approximately 8 a.m. to 5 p.m. The employer offers an extensive orientation program, potential advancement to full-time opportunities, and well-being support for employees and their families. Part-time/per-diem employees may qualify for a 401(k) after reaching 1,000 hours within their first anniversary or a subsequent calendar year; an employee assistance program is also available to part-time employees.

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, social work, 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 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

• Previous discharge planning experience.
• Specific experience in care management and discharge planning.
• Working knowledge of the insurance industry and government reimbursement.

Responsibilities

• Manage utilization reviews, resource management, discharge planning, treatment plans, and financial management.
• Complete medical record documentation.
• Provide social work services as needed, 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 for hospital services and cost-conscious care through resource management.
• 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 and identify and negotiate available reimbursement to maximize patients’ insurance benefit coverage.
• Review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists.

Benefits

• Extensive orientation program.
• Potential advancement to full-time opportunities.
• 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