Select Specialty Hospital
Director of Case Management ( RN / RT / MSW / LPN )
Select Specialty Hospital, Madison, Wisconsin, us, 53774
Director of Case Management ( RN / RT / MSW / LPN )
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Director of Case Management ( RN / RT / MSW / LPN )
role at
Select Specialty Hospital
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 in order to ensure proper reimbursement for hospital provided services and to promote cost attentive care via a focus on resource management.
Demonstrating compliance with facility-wide Utilization Management policies and procedures.
Coordinating UR compliance with Quality Management to ensure 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 or a 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 candidate must have consistently achieved set objectives and must be recommended by the hospital CEO).
Current RN licensure preferred.
Working knowledge of the insurance industry and government reimbursement.
At Select Specialty/Regency Hospitals, a division of 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.
Are you resourceful in overcoming obstacles? Are you a results-oriented team player? If you answered 'yes', consider an opportunity with us!
Referrals increase your chances of interviewing at Select Specialty Hospital by 2x
#J-18808-Ljbffr
Director of Case Management ( RN / RT / MSW / LPN )
role at
Select Specialty Hospital
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 in order to ensure proper reimbursement for hospital provided services and to promote cost attentive care via a focus on resource management.
Demonstrating compliance with facility-wide Utilization Management policies and procedures.
Coordinating UR compliance with Quality Management to ensure 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 or a 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 candidate must have consistently achieved set objectives and must be recommended by the hospital CEO).
Current RN licensure preferred.
Working knowledge of the insurance industry and government reimbursement.
At Select Specialty/Regency Hospitals, a division of 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.
Are you resourceful in overcoming obstacles? Are you a results-oriented team player? If you answered 'yes', consider an opportunity with us!
Referrals increase your chances of interviewing at Select Specialty Hospital by 2x
#J-18808-Ljbffr