Case Manager / PRN ( RN / RT / SW / LPN )
On-siteAkron, Ohio, United States
Job Summary
Develop and implement patient-specific, safe discharge plans while coordinating utilization reviews and resource management for chronically critically ill populations. Perform verification of utilization criteria, manage treatment and financial plans, and complete medical record documentation. Build relationships with payors to secure proper reimbursement and maximize insurance benefits, ensuring compliance with facility-wide utilization and quality management policies. Facilitate multi-disciplinary team meetings with physicians, nurses, and therapists to direct care plans. Report directly to the Director of Case Management, providing social work services as needed per state guidelines.
Required Qualifications
- 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
- Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations
- Availability to work a minimum of 2 shifts per month on an as needed basis
- Availability to work a minimum of 2 shifts per month on an as needed basis - shifts would be scheduled on weekdays, from appoximately 8a.m.-5p.m.
Desired Qualifications
- Previous discharge planning experience highly preferred
- Specific experience in Care Management and Discharge Planning is preferred
- Working knowledge of the insurance industry and government reimbursement
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