Case Manager / Prn

Job summary
Critical Illness Recovery Hospital Case Manager (PRN)Requires current licensure in a clinical disciplinePrevious experience in critical care setting required
Job seniority: mid-to-senior level
Responsibilities
• Utilization reviews and resource management• Discharge planning• Treatment plan management• Financial management• Medical record documentation• Social work services per state guidelines• Developing and implementing patient-specific discharge plans• Verification of utilization criteria reviews• Coordination with payor sources for proper reimbursement• Compliance with facility-wide utilization management policies and procedures• Maintaining fiscal responsibilities• Facilitating multi-disciplinary team meetings
Requirements
• Current licensure as Nurse, Respiratory Therapist, or Social Worker• Previous experience in inpatient hospital setting dealing with critical care/acute care patients• Adequate experience in acute medical case management• Working knowledge of the insurance industry and government reimbursement• Availability to work a minimum of 2 shifts per month on an 'as needed' basis