Case Manager ( RN / RT / SW / LPN )

Select Specialty Hospital - Akron • Akron, OH

1d • $71,000 - $95,000

About The Position

Select Specialty Hospital is a critical illness recovery hospital (LTACH) providing inpatient post-ICU services to chronically critically ill patients who need extended healing and recovery. The Case Manager supports patients through this recovery by providing compassionate care and coordinating appropriate services.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management, financial management, and medical record documentation. The role may also provide social work services as necessary under state guidelines and reports directly to the Director of Case Management. This is a full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. Salary is $71,000–$95,000, based on relevant work experience.

Requirements

• Current licensure in a clinical discipline as a nurse or respiratory therapist, or a current social work license or certification consistent with 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

• RN licensure is preferred.
• 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 utilization criteria reviews.
• Build relationships and coordinate with payor sources to support appropriate reimbursement for hospital services.
• Promote 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 accrediting 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 and provide social work services as necessary under state guidelines.

Benefits

• Extensive orientation program.
• Generous paid time off and paid sick time for full-time team members.
• Medical and 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