Case Manager / PRN ( RN / RT / SW / LPN ) Join to apply for the Case Manager / PRN ( RN / RT / SW / LPN ) role at Select Specialty Hospital .
Requirements: Current licensure in a clinical discipline as a Nurse (RN/LPN/LVN), Respiratory Therapist, or Social Work licensed per state guidelines. Previous experience in a critical care setting required. Previous discharge planning experience highly preferred.
Shift 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.
Responsibilities Develop and implement a patient‑specific, safe and timely discharge plan.
Perform verification of utilization criteria reviews.
Build relationships and coordinate with payor sources to ensure proper reimbursement and cost‑attentive care.
Demonstrate compliance with facility‑wide Utilization Management policies and procedures.
Coordinate UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
Maintain fiscal responsibilities; identify and negotiate the fullest possible reimbursement to maximize insurance benefit coverage.
Facilitate multidisciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.
Qualifications Current licensure in a clinical discipline as a Nurse (RN/LPN/LVN), Respiratory Therapist or licensed Social Work 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, ventilated).
Adequate experience in an acute medical case management setting and confidence to manage 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 – weekdays 8 a.m.–5 p.m.
Location: St. Louis, MO | Salary: $80,000–$85,000 per year.