Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) Director of Case Management Full Time: Monday - Friday 8-5pm Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum three (3) years of medical case management or similar experience. Previous case mangement ( discharge planning ) experience with medically complex patients in a hospital critical care setting and supervisory experience.
Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and our team plays a central role in providing compassionate, excellent care every step of the way. Responsibilities We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.
As the Director of Case Management , you will use your clinical knowledge and contribute to the overall functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial management effectiveness. 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 We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.
Minimum
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).
that will make you successful: Current RN licensure preferred. Working knowledge of the insurance industry and government reimbursement. Additional Data General Benefits Full-time Start Strong : Extensive and thorough orientation program to ensure a smooth transition into our setting Recharge & Refresh : Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance Your Health Matters : Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Equal opportunity employer, including disabled veterans