Acute Care, Case Management, Chronic Disease, Critical Care, Cross-Functional, Discharge Plans, Documentation, Financial Management, Government, Healthcare Reimbursement, Hospital, Insurance, Intensive Care, Licensed Practical Nurse/Licensed Vocational Nurse, Medical Records, Patient Care, Quality Management, Quality of Life, Registered Nurse (RN), Reimbursement, Resource Management, Respiratory Nursing, Respiratory Therapy, Social Work, Team Player, Time Management, Treatment Plan, Utilization Management
Overview
Select Specialty Hospital
Critical Illness Recovery Hospital (LTACH)
Case Manager
Full Time: Monday-Friday 8-5pm
Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).
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Previous discharge planning experience preferred.
Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives - and our team plays a central role in providing compassionate, excellent care every step of the way.
Responsibilities
We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.
The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines.
- Develops and implements a patient specific, safe and timely discharge plan.
- Performs verification of utilization criteria reviews.
- Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs 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 is identifying and negotiating 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.
Qualifications
We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.
Minimum requirements:
- Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist (RN preferred) 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. (example: ICU, step-down, med surg, vents)
Preferred qualifications that will make you successful:
- Specific experience in Care Management and Discharge Planning is preferred.
- Working knowledge of the insurance industry and government reimbursement.
Additional Data
General Benefits Full-time
- Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
- Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
- Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members
- Invest in Your Future:Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
- Your Impact Matters:Join a team of over 44,000 committed to providing exceptional patient care
Equal opportunity employer, including disabled veterans
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Select Medical Corp
Superior quality and care. Compassion and Respect. Results oriented. Teamwork. Resourcefulness. These are the core values upon which Select Medical was built. Since its founding in 1996, Select Medical has passionately focused on providing superior, patient-centered care that improves quality of life.Co-founded by Rocco Ortenzio and Robert Ortenzio, Select Medical began as a regional provider of outpatient physical rehabilitation. Contract therapy was added to the company's specialized health care offerings in 1997, and was quickly followed by the introduction of long-term acute care in 1998. In 1999, Select Medical made one of its largest acquisitions by purchasing NovaCare Physical Rehabilitation and Occupational Health. In three years, Select Medical had grown from a small start-up into a diversified health care company with a national presence. This progressive yet responsible growth was one attribute that led to the company's recognition as one of the Best Managed Companies in America by Forbes magazine.
10,000 employees or more
http://www.selectmedical.com/