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

Select Medical • Tucson, AZ

3d

About The Position

Select Specialty Hospital is a critical illness recovery hospital providing inpatient post-ICU services to chronically critically ill patients who need extended healing and recovery. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The position provides social work services as necessary and in accordance with state guidelines. The Case Manager develops and implements patient-specific, safe, and timely discharge plans; verifies utilization criteria; and works with payors to support appropriate reimbursement and cost-conscious care. The role also supports compliance with facility utilization management policies, licensure and accreditation requirements, and fiscal responsibilities, while helping maximize insurance benefit coverage and minimize risk. The Case Manager facilitates multidisciplinary team meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists. This is a PRN position with weekday shifts scheduled as needed, approximately 8 a.m. to 5 p.m., with availability for at least two shifts per month.

Requirements

• Current licensure in a clinical discipline as a Nurse (RN, LPN, or LVN) or Respiratory Therapist, or a current Social Work license or certification as required by state guidelines.
• Previous RN, LPN, RT, SW, or Case Manager experience in an inpatient hospital setting with 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 patients.

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

• Conduct utilization reviews and manage resources.
• Develop and implement patient-specific, safe, and timely discharge plans.
• Manage treatment plans and complete medical record documentation.
• Verify utilization criteria.
• Coordinate with payor sources to support proper reimbursement and cost-conscious 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 and help maximize insurance benefit coverage while minimizing risk.
• Review insurance verification forms.
• Facilitate multidisciplinary team meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Provide social work services as necessary and in accordance with state guidelines.

Benefits

• Extensive orientation program.
• Potential opportunity for advancement to full-time employment.
• Benefits supporting financial, work/life, and emotional well-being for employees and family members.
• 401(k) eligibility for part-time and per-diem employees after 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
• Career Level: Mid Level
• Education Level: No Education Listed