Case Manager​/PRN ( RN​/RT​/SW​/LPN

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

Critical Illness Recovery Hospital

Case Manager (PRN)

Requires a current licensure in a clinical discipline either as a Nurse (RN / LPN / LVN) or a Respiratory Therapist or a Social Work license per state guidelines. Previous experience in a critical care setting is required. Previous discharge planning experience is highly preferred.

Shift

• Availability to work a minimum of 2 shifts per month on an "as needed" basis. Shifts are scheduled weekdays, approximately 8 a.m. – 5 p.m.

At Select Specialty Hospitals and Regency Hospitals, a division of Select Medical, we care for chronically and critically ill or post‑ICU patients who require extended hospital care. Our mission is to provide an exceptional patient care experience that promotes healing and recovery in a compassionate environment.

Responsibilities

• Develops and implements a patient specific, safe and timely discharge plan.
• Performs verification of utilization criteria reviews.
• Builds relationships and coordinates with payor sources to assure proper reimbursement for hospital provided services, promote cost‑attentive care via focus on resource management within the plan of care.
• Demonstrates compliance with facility‑wide Utilization Management policies and procedures.
• Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
• Maintains fiscal responsibilities. Assures the department identifies and negotiates the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
• Facilitates multi‑disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Minimum Requirements

• Current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist or current license / certified Social Work license per state guidelines.
• Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients (e.g., ICU, step‑down, med‑surg, vents).
• Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations.

Preferred Qualifications

• Specific experience in Care Management and Discharge Planning.
• Working knowledge of the insurance industry and government reimbursement.
• Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts scheduled weekdays, approximately 8 a.m. – 5 p.m.