
Hospital Case Manager - $10,000 Sign On Bonus
- Middleburg Heights, OH
- $80,000-90,000 per year
- Permanent
- Full-time
- 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 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.
- Current licensure in a clinical discipline either as a Registered Nurse, Nurse or a Respiratory Therapist (RN preferred) 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. (example: ICU, step-down, med surg, vents)
- Specific experience in Care Management and Discharge Planning is 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.
- Unlimited employee referral bonus incentives ($500-$5000 per new hire, depending on position)
- 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.