Select Medical

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Case Manager (per diem)

at Select Medical

Posted: 1/10/2020
Job Status: On Call
Job Reference #: 115814
Keywords: hospital, patient

Job Description

  • Job ID
    115814
    Location
    US-WI-Milwaukee | US-WI-Milwaukee
    Experience (Years)
    1
    Category
    Clinical - Case Manager
    Street Address
    3237 South 16th Street, 5th Floor
    Company
    Select Specialty Hospital
    Position Type
    Per Diem
  • Overview

    Select Specialty Hospital - West Allis & Saint Francis

    Case Manager (per diem)

    Use your problem solving skills everyday while thriving in a fast-paced, challenging, and rewarding environment. You will be a vital role in managing and directing a patient focused clinical plan of care developed and implemented by a team of professionals that improves quality of life and leads to a safe and timely discharge.

    Responsibilities

    • Develop and implement a patient specific, safe and timely discharge plan
    • Perform verification of utilization criteria reviews
    • Build 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
    • 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 department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification form to minimize risk.
    • Facilitate multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists

    Qualifications

    • Registered Nurse (RN) or Licensed SW
    • Adequate experience (2-3 years) in an acute hospital / medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations
    • Experience in care management, discharge planning, and utilization review
    • Working knowledge of the insurance industry and government reimbursement
    • Passion for providing superior quality of care and excellent organizational and communication skills
    • Ability to provide coverage both Milwaukee locations (St. Francis and West Allis) on an as needed basis
    Coming Soon!