Case Manager / PRN ( RN / RT / SW / LPN )
Position at Select Specialty Hospital, a Critical Illness Recovery Hospital (LTACH) in Florida. Requires current licensure in a clinical discipline – nurse (RN, LPN, LVN), respiratory therapist, or licensed social work professional. Shift availability: minimum 2 shifts per month, weekdays approximately 8 a.m.–5 p.m., on an "as needed" basis. Prior discharge planning experience preferred.
About the Hospital
Selective specialty hospital committed to world‑class inpatient post‑ICU services for chronically critically ill patients, providing compassionate, excellent care during vulnerable moments.
Responsibilities
- Develop and implement patient‑specific, safe and timely discharge plans.
- Perform verification of utilization criteria reviews.
- Coordinate with payor sources to assure proper reimbursement and promote cost‑attentive care through resource management.
- Demonstrate compliance with utilization management policies and procedures.
- Coordinate UR compliance with Quality Management to ensure licensure and accrediting requirements are met.
- Maintain fiscal responsibilities, identify and negotiate reimbursement to maximize insurance benefit coverage, review insurance verification forms to minimize risk.
- Facilitate multidisciplinary team meetings with physicians, nurses, respiratory therapists, and rehabilitation therapists.
- Complete medical record documentation.
- Report directly to the Director of Case Management and provide social work services as required per state guidelines.
Qualifications
- Current licensure in a clinical discipline: RN, LPN, LVN, respiratory therapist, or licensed social work professional.
- Previous inpatient hospital experience with critical/acute care patients (e.g., ICU, step‑down, med‑surg, ventilator support).
- Experience in an acute medical case management setting and confidence to manage and direct care plans 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 for at least 2 shifts per month on an "as needed" basis, weekdays 8 a.m.–5 p.m.
Seniority Level
Mid‑Senior level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
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