This is a Job Description for a Case Manager / PRN (RN /RT /SW/LPN) in Macon, Georgia

Summary: At Select Specialty Hospitals and 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 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 doing that by living our cultural behaviors - celebrating success, owning the future, being patient-centered, creating change, thinking first and building trust.

Duties & Responsibilities:

Develops and implements a patient specific, safe and timely discharge plan. Performs verification of utilization criteria reviews. Builds relationships and coordinates 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. Demonstrates compliance with facility-wide Utilization Management policies and procedures. Coordinates UR compliance with Quality Management to assure 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.

Requirements

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: Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN) or a Respiratory Therapist OR current license / certified Social Work license per state guidelines. Previous 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). Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations

Equal

Opportunity/Affirmative Action Employer.