Select Specialty Hospital
Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital, Pensacola, Florida, United States, 32573
Case Manager / PRN ( RN / RT / SW / LPN )
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Case Manager / PRN ( RN / RT / SW / LPN )
role at
Select Specialty Hospital
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Vice President Talent Acquisition at Select Medical
Critical Illness Recovery Hospital
Case Manager (PRN)
Requires a current licensure in a clinical discipline either as a nurse or a respiratory therapist or social work (SW/MSW). Previous experience in critical care setting required. Discharge planning experience highly preferred.
Shift
Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, approx. 8 a.m.–5 p.m.
At Select Specialty Hospitals and Regency Hospitals, we care for chronically and critically ill or post-ICU patients who require extended hospital care. Our mission is to provide an exceptional patient care experience that promotes healing and recovery in a compassionate environment.
Responsibilities
Develops and implements a patient specific, safe and timely discharge plan.
Performs verification of utilization criteria reviews.
Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
Demonstrates compliance with facility-wide Utilization Management policies and procedures.
Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.
Qualifications
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 (example: ICU, step-down, med surg, vents).
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 - shifts would be scheduled on weekdays, from 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, Medical Practices
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Case Manager / PRN ( RN / RT / SW / LPN )
role at
Select Specialty Hospital
Direct message the job poster from Select Specialty Hospital
Vice President Talent Acquisition at Select Medical
Critical Illness Recovery Hospital
Case Manager (PRN)
Requires a current licensure in a clinical discipline either as a nurse or a respiratory therapist or social work (SW/MSW). Previous experience in critical care setting required. Discharge planning experience highly preferred.
Shift
Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, approx. 8 a.m.–5 p.m.
At Select Specialty Hospitals and Regency Hospitals, we care for chronically and critically ill or post-ICU patients who require extended hospital care. Our mission is to provide an exceptional patient care experience that promotes healing and recovery in a compassionate environment.
Responsibilities
Develops and implements a patient specific, safe and timely discharge plan.
Performs verification of utilization criteria reviews.
Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
Demonstrates compliance with facility-wide Utilization Management policies and procedures.
Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.
Qualifications
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 (example: ICU, step-down, med surg, vents).
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 - shifts would be scheduled on weekdays, from 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, Medical Practices
#J-18808-Ljbffr