Case Manager ( RN​/RT​/SW​/LPN

Case Manager, Critical Illness Recovery Hospital (LTACH)

Full Time:
Monday-Friday 8-5pm. Combines patient-centered case management, utilization reviews, resource management, discharge planning, treatment plan management, and financial management. Reports directly to the Director of Case Management and provides social work services as required per state guidelines.

Required licensure in a clinical discipline as a Nurse (RN/LPN/LVN) or Respiratory Therapist (RT), or Medical Social Work license per state guidelines.

• 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, promotes 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, ensures the department identifies and negotiates the fullest possible reimbursement to maximize insurance benefit coverage for the patient, reviewing insurance verification forms to minimize risk.
• Facilitates multi‑disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

• Current licensure in a clinical discipline as a Nurse (RN preferred) or Respiratory Therapist (RN preferred) or current license / certified Social Work license per state guidelines.
• Previous experience in RN/LPN/RT/SW/CM in an inpatient hospital setting dealing with critical/acute care patients (example: ICU, step‑down, med surg, vents).

• Specific experience in Care Management and Discharge Planning.
• Working knowledge of the insurance industry and government reimbursement.

Location:

Phoenix, AZ

Salary: $61,340 - $100,360

Seniority Level: Mid‑Senior Level

Employment type:

Full‑time

Job function:
Health Care Provider

Industries:
Hospitals and Health Care

We’re committed to providing compassionate, excellent care. Cases include patients requiring extended healing and recovery. We value champions of the Select Medical Way, putting the patient first, and continuously improving quality of life.