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

Select Medical • Fort Myers, FL

3d

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 provides utilization review and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The position also provides social work services as necessary and as permitted by state guidelines.

The Case Manager develops and implements safe, timely, patient-specific discharge plans; verifies utilization criteria; coordinates with payors to support appropriate reimbursement and cost-conscious care; and ensures compliance with facility utilization management policies and applicable quality, licensure, and accreditation requirements. The role also supports fiscal responsibility, seeks to maximize insurance benefit coverage, reviews insurance verification forms, and facilitates multidisciplinary team meetings.

This is a PRN role requiring availability for at least two shifts per month on an as-needed basis. Shifts are scheduled on weekdays, approximately 8 a.m. to 5 p.m. The listed pay is $43.50 per hour. The position reports to the Director of Case Management.

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 serving 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 plans of care for chronically critically ill populations.

Nice To Haves

• Specific experience in Care Management and Discharge Planning.
• Working knowledge of the insurance industry and government reimbursement.
• Previous discharge planning experience is highly preferred.
• Availability to work at least two shifts per month on an as-needed basis, on weekdays, approximately 8 a.m. to 5 p.m.

Responsibilities

• Develop and implement safe, timely, patient-specific discharge plans.
• Perform verification of utilization criteria reviews.
• Manage resources and treatment plans, promoting cost-conscious care within the plan of care.
• Coordinate with payor sources to support proper reimbursement for hospital services.
• 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 and identify and negotiate available reimbursement to maximize insurance benefit coverage for patients.
• Review insurance verification forms to minimize risk.
• Facilitate multidisciplinary team meetings involving physicians, nurses, respiratory therapists, and rehabilitation therapists.
• Complete medical record documentation.
• Provide social work services as necessary, per state guidelines.

Benefits

• Extensive orientation program.
• Potential full-time opportunities based on demonstrated skills and dedication.
• Benefits supporting the financial, work/life, and emotional well-being of employees and their family members.
• 401(k) eligibility for part-time/per-diem employees upon 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
• Education Level: No Education Listed