Select Specialty Hospital
Director of Case Management ( RN / RT / MSW / LPN )
Select Specialty Hospital, Florida, New York, United States
Overview
Director of Case Management (RN / RT / MSW / LPN). This role at Select Specialty Hospital focuses on leading case management activities for chronically and critically ill patients, coordinating discharge planning, utilization management, and reimbursement efforts. Responsibilities
Develop and implement patient-specific, safe, and timely discharge plans. Perform verification of utilization criteria reviews. Build relationships with payor sources to ensure proper reimbursement and promote cost-conscious care via resource management. Ensure compliance with facility-wide Utilization Management policies and procedures. Coordinate UR compliance with Quality Management to fulfill licensure and accreditation requirements. Maintain fiscal responsibilities; identify and negotiate reimbursement to maximize insurance benefit coverage; review insurance verification forms to minimize risk. Facilitate multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists. Qualifications
Current licensure in a clinical or related discipline. Minimum three (3) years of medical case management or similar experience. Two (2) years of experience in either managing a case management department or case management at Select Medical with demonstrated leadership skills. Preferred: Current RN licensure; working knowledge of the insurance industry and government reimbursement. Employment details
Employment type: Full-time Industry: Health Care / Hospitals
#J-18808-Ljbffr
Director of Case Management (RN / RT / MSW / LPN). This role at Select Specialty Hospital focuses on leading case management activities for chronically and critically ill patients, coordinating discharge planning, utilization management, and reimbursement efforts. Responsibilities
Develop and implement patient-specific, safe, and timely discharge plans. Perform verification of utilization criteria reviews. Build relationships with payor sources to ensure proper reimbursement and promote cost-conscious care via resource management. Ensure compliance with facility-wide Utilization Management policies and procedures. Coordinate UR compliance with Quality Management to fulfill licensure and accreditation requirements. Maintain fiscal responsibilities; identify and negotiate reimbursement to maximize insurance benefit coverage; review insurance verification forms to minimize risk. Facilitate multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists. Qualifications
Current licensure in a clinical or related discipline. Minimum three (3) years of medical case management or similar experience. Two (2) years of experience in either managing a case management department or case management at Select Medical with demonstrated leadership skills. Preferred: Current RN licensure; working knowledge of the insurance industry and government reimbursement. Employment details
Employment type: Full-time Industry: Health Care / Hospitals
#J-18808-Ljbffr