Case Manager - Central PA (per diem)

ID129921
Per Diem
1701 Innovation Drive
York, PA 17408
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Job Description

Select Specialty Hospital- York

 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

Additional Data

  • Must be able to float to either Camp Hill, Harrisburg, or York
  • Would provide 1 shift a week, potentially more depending on coverage needs

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