Case Manager

Company: Select Specialty Hospital
Location: Orlando
Posted on: February 25, 2021

Job Description:

Critical Illness Recovery HospitalCase ManagerSign-On Bonus: $5,000Who we are: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!Your 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.The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management, and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines.* Develops and implements a patient-specific, safe, and timely discharge plan.* Performs verification of utilization criteria reviews.* Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via a 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.QualificationsWe are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.Minimum requirements:* Current License or Certified Social Work License per state guidelines or Current Licensure in a clinical or a related discipline (RN preferred).* Minimum three (3) years of medical case management or health care social work.* Working knowledge of the insurance industry and government reimbursement.Preferred qualifications--that will make you successful:* Specific experience in Care Management and Discharge Planning is preferred.Your benefits as a full-time Case Manager:Select Medical strives to provide our employees with a 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.

Keywords: Select Specialty Hospital, Orlando , Case Manager, Executive , Orlando, Florida