About this opportunity
Select Medical lists this Case Manager ( RN / RT / SW / LPN ) opportunity in augusta, Georgia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Overview
nSelect Specialty Hospital
nCritical Illness Recovery Hospital (LTACH)
nCase Manager
nFull Time: Monday-Friday 8-5pm
nRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).
nAnd
nPrevious discharge planning experience preferred.
nOur 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.
nResponsibilities
nWe 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.
nThe Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines.
nnnDevelops and implements a patient specific, safe and timely discharge plan.
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nnPerforms verification of utilization criteria reviews.
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nnBuilds 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.
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nnDemonstrates compliance with facility-wide Utilization Management policies and procedures.
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nnCoordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
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nnMaintains 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.
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nnFacilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.
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n nQualifications
nWe are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.
nMinimum requirements:
nnnCurrent licensure in a clinical discipline either as a Nurse or a Respiratory Therapist (RN preferred) OR current license / certified Social Work license per state guidelines
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nnPrevious 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)
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n nPreferred qualifications that will make you successful:
nnnSpecific experience in Care Management and Discharge Planning is preferred.
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nnWorking knowledge of the insurance industry and government reimbursement.
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n nAdditional Data
nGeneral Benefits Full-time
nnnStart Strong : Extensive and thorough orientation program to ensure a smooth transition into our setting
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nnRecharge & Refresh : Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
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nnYour Health Matters : Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members
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nnInvest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
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nnYour Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care
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n nEqual opportunity employer, including disabled veterans
nLocation : Location US-GA-Augusta
nJob ID
nPosition Type Full Time
nExperience (Years) 0
nCategory Case Management - Case Manager
nCompany Select Specialty Hospital - Augusta
Worksite address
augusta, GA, 30910, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.