Select Medical
Director of Case Management ( RN / RT / MSW / LPN )
Select Medical, Oxford, Florida, United States, 34484
Director of Case Management ( RN / RT / MSW / LPN )
Director of Case Management ( RN / RT / MSW / LPN )
Overview At Select Medical, we care for chronically and critically ill or post-ICU patients who require extended hospital care. Select Medical employs over 48,000 people across the country and provides quality care to approximately 70,000 patients each and every day across our four divisions. Our mission is to provide an exceptional patient care experience that promotes healing and recovery in a compassionate environment. Each employee plays a vital role in living our cultural behaviors – celebrating success, owning the future, being patient-centered, creating change, thinking first and building trust.
Responsibilities
Developing and implementing a patient-specific, safe and timely discharge plan.
Performing verification of utilization criteria reviews.
Building relationships and coordinating with payor sources to ensure proper reimbursement and promote cost-attentive care through resource management.
Demonstrating compliance with facility-wide Utilization Management policies and procedures.
Coordinating UR compliance with Quality Management to ensure licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities; identifies and negotiates the fullest possible reimbursement to maximize insurance benefit coverage; reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.
Minimum requirements
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: (a) managing a case management department; or (b) case management at Select Medical with demonstrated effective leadership skills. Internal candidates must have consistently achieved objectives and be recommended by the hospital CEO.
Preferred qualifications
Current RN licensure preferred.
Working knowledge of the insurance industry and government reimbursement.
Seniority level
Director
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr
Overview At Select Medical, we care for chronically and critically ill or post-ICU patients who require extended hospital care. Select Medical employs over 48,000 people across the country and provides quality care to approximately 70,000 patients each and every day across our four divisions. Our mission is to provide an exceptional patient care experience that promotes healing and recovery in a compassionate environment. Each employee plays a vital role in living our cultural behaviors – celebrating success, owning the future, being patient-centered, creating change, thinking first and building trust.
Responsibilities
Developing and implementing a patient-specific, safe and timely discharge plan.
Performing verification of utilization criteria reviews.
Building relationships and coordinating with payor sources to ensure proper reimbursement and promote cost-attentive care through resource management.
Demonstrating compliance with facility-wide Utilization Management policies and procedures.
Coordinating UR compliance with Quality Management to ensure licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities; identifies and negotiates the fullest possible reimbursement to maximize insurance benefit coverage; reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.
Minimum requirements
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: (a) managing a case management department; or (b) case management at Select Medical with demonstrated effective leadership skills. Internal candidates must have consistently achieved objectives and be recommended by the hospital CEO.
Preferred qualifications
Current RN licensure preferred.
Working knowledge of the insurance industry and government reimbursement.
Seniority level
Director
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr