Director of Case Management ( RN / RT / MSW / LPN ) - $10,000 Sign On Bonus
Select Medical
- Memphis, TN
- Permanent
- Full-time
- 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.
- 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).
- Current RN licensure preferred.
- Working knowledge of the insurance industry and government reimbursement.
- 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.