Availability: Minimum of 2 shifts per month on an “as needed” basis – weekdays, approximately 8 a.m.–5 p.m.
Compensation: $40 per hour
Licensure: Current licensure in a clinical discipline (RN, LPN/LVN, RT, or Social Work license per state guidelines).
Experience: Previous experience in a critical care setting required. Previous discharge planning experience highly preferred.
About the Facility: Rush Specialty Hospital, a partnership between Select Medical and RUSH, is a 100‑bed facility that combines a critical illness recovery hospital and an acute inpatient rehabilitation hospital. The critical illness recovery hospital is committed to providing world‑class inpatient post‑ICU services to chronic, critically ill patients who require extended healing and recovery.
Why Join Us
Fostering Well‑Being: benefits supporting financial, work/life, and emotional well‑being for you and your family. PRN/part‑time positions eligible for 401(k) after 1,000 hours within first anniversary or subsequent calendar year. Employee assistance program available to part‑time and PRN employees.
Ease the Burden: company‑paid parking.
Your Impact Matters: join a team of over 44,000 committed to providing exceptional patient care.
Responsibilities
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. Reports directly to the Director of Case Management and provides social work services, as necessary, per state guidelines.
Develop and implement a patient‑specific, safe and timely discharge plan.
Perform verification of utilization criteria reviews.
Build relationships and coordinate with payors to assure proper reimbursement for hospital‑provided services, promote cost‑attentive care via focus on resource management within the plan of 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. Ensure the department identifies and negotiates the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Review insurance verification forms to minimize risk.
Facilitate multidisciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.
Qualifications
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, ventilated).
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 that will make you successful:
Specific experience in Care Management and Discharge Planning is preferred.
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, approximately 8 a.m.–5 p.m.
Seniority Level
Entry level
Employment Type
Part‑time
Job Function
Health Care Provider
Industries
Wellness and Fitness Services, Hospitals and Health Care, and Medical Practices
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