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

Select Specialty Hospital - Omaha • Omaha, NE

5d

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 Case Manager supports patients through this care by coordinating utilization review, 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.

This is a PRN, as-needed position requiring availability for at least two weekday shifts per month, scheduled approximately 8 a.m.–5 p.m. The role pays $42 per hour and reports directly to the Director of Case Management. The hospital offers an extensive orientation and the potential for advancement to full-time opportunities. Part-time/per-diem employees may qualify for 401(k) after reaching the specified hours threshold and have access to the employee assistance program.

Requirements

• Current licensure in a clinical discipline as a nurse (RN, LPN, or LVN) or respiratory therapist, or a current social work license/certification in accordance with state guidelines.
• Experience as an RN, LPN, RT, SW, or case manager in an inpatient hospital setting caring for critical-care or acute-care patients, such as ICU, step-down, medical-surgical, or ventilator patients.
• Adequate experience in acute medical case management and confidence managing and directing care plans 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.–5 p.m.

Nice To Haves

• Care management and discharge-planning experience.
• Working knowledge of the insurance industry and government reimbursement.

Responsibilities

• Develop and implement patient-specific, safe, and timely discharge plans.
• Perform utilization criteria reviews.
• Coordinate with payor sources to support appropriate reimbursement and cost-conscious care through resource management.
• 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, including identifying and negotiating reimbursement and maximizing insurance benefit coverage for patients.
• 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 and 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 their families.
• 401(k) eligibility for part-time/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
• Education Level: No Education Listed