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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).
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.
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.
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 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. Assure the department is identifying and negotiating 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.
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.
Working knowledge of the insurance industry and government reimbursement.