Director of Case Management ( RN / RT / MSW / LPN )

Select Medical • Full-time • Morgantown, WV, US • 1m ago

Overview

Critical Illness Recovery Hospital

Director of Case Management

Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum three (3) years of medical case management or similar experience.

Previous case mangement ( discharge planning ) experience with medically complex patients in a hospital critical care setting and supervisory experience.

At Select Specialty/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 and every 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.

Are you resourceful in overcoming obstacles? Are you a results-oriented team player? If you answered 'yes', consider an opportunity with us!

Responsibilities

We 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.

As the Director of Case Management, you will use your clinical knowledge and contribute to the overall functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial management effectiveness.

Developing and implementing a patient-specific, safe and timely discharge plan.
Performing verification of utilization criteria reviews.
Building relationships and coordinating with payor sources in order to ensure proper reimbursement for hospital provided services and to promote cost attentive care via a focus on resource management.
Demonstrating compliance with facility-wide Utilization Management policies and procedures.
Coordinating UR compliance with Quality Management to ensure 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.

Qualifications

We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.

Minimum requirements:

Current licensure in a clinical or a related discipline.
Minimum three (3) years of medical case management or similar experience.
Two (2) years of experience in either (a) managing a case management department; or (b) case management at Select Medical with demonstrated effective leadership skills. (Internal candidate must have consistently achieved set objectives and must be recommended by the hospital CEO).

Preferred qualifications that will make you successful:

Current RN licensure preferred.
Working knowledge of the insurance industry and government reimbursement.

Additional Data

Select Medical strives to provide our employees with work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.

An extensive and thorough orientation program.
Monday through Friday schedule; six (6) paid holidays.
Develop collaborative relationships with patients and their families.
Paid Time Off (PTO) and Extended Illness Days (EID).
Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
A 401(k) retirement plan with company match.
Short and Long Term Disability.
Personal and Family Medical Leave.

We'd love for you to join the team!

Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.

Related Jobs

LPN Licensed Practical Nurse, PRN

Morgantown Healthcare Center • Per Diem • Morgantown, WV, US • $30 - $36.57 / hour • 1w ago

LPN

A DEEPER COMPASSION, FOR A HIGHER PURPOSE Nurses are at the heart of our world-class, patient-centered standard of care. Day in and day out, they go the extra mile to make a lasting difference in the lives of our res...

1w ago

VIEW JOB

Licensed Practical Nurse - LPN

Guardian Healthcare • Full-time • Fairmont, WV, US • 9m ago

LPN

GHS (Guardian Healthcare Staffing), is currently hiring Licensed Practical Nurses (LPNs) for PRN/casual Employment in the Fairmont, WV area . GHS provides temporary nurse staffing services to our partner s...

9m ago

VIEW JOB

LPN Nurse, Nights

Morgantown Healthcare Center • Full-time • Morgantown, WV, US • 1w ago

LPN

1w ago

VIEW JOB

Visit Facilitator (LPN)

WellBe Senior Medical • Full-time • Morgantown, WV, US • 24m ago

LPN

Job Summary WELLBE INTRODUCTION The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medi...

24m ago

VIEW JOB

LPN- Skilled Nursing Unit (FMC)

WVUH West Virginia University Hospitals • Full-time • Fairmont, West Virginia, United States • 1w ago

LPN

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find o...

1w ago

VIEW JOB

Clinical Authorization Specialist, LPN

WVUH West Virginia University Hospitals • Full-time • Morgantown, West Virginia, United States • 3d ago

LPN

3d ago

VIEW JOB

LPN-Home Health

WVUH West Virginia University Hospitals • Full-time • Morgantown, West Virginia, United States • 6m ago

LPN Home Health

6m ago

VIEW JOB

Licensed Practical Nurse (LPN)

Guardian Healthcare • Full-time • Fairmont, WV, US • $24 - $28 / hour • 6m ago

LPN

Guardian Healthcare Fairmont is currently seeking Licensed Practical Nurses (LPNs) Available Shifts: Full-time / Rotating Holidays and Weekends / 12 hour shifts Daylight 7:00 am - 7...

6m ago

VIEW JOB

LPN - Mary Babb Randolph Cancer Center - Day Shift

WVUH West Virginia University Hospitals • Full-time • Morgantown, West Virginia 26505, United States • 1m ago

LPN Oncology

1m ago

VIEW JOB

Clinical Authorization Specialist, LPN

WVUH West Virginia University Hospitals • Full-time • Morgantown, West Virginia, United States • 3d ago

LPN

3d ago

VIEW JOB