Case Manager Pediatrics
Job Location:
St. Louis, MO - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
SSM Cardinal Glennon Pediatric Therapy
SSM Health Physical Therapy
St. Louis MO
Case Manager - Full-Time
*Full-time (M-F 8am-5pm)*
Experience in insurance verification and pediatric social work strongly preferred.
The Pediatric Case Manager plays a critical role in coordinating care for children receiving Physical Therapy (PT) Occupational Therapy (OT) and Speech-Language Pathology (SLP) services. This position is responsible for managing insurance authorization processes while also providing family-centered support informed by a background in social work.
Key Responsibilities:
- Coordinate and manage insurance authorization for PT OT and SLP services including initial requests reauthorizations and appeals as needed
- Collaborate with therapists providers and administrative teams to ensure timely submission of documentation required for payer approval
- Monitor authorization status track service utilization and proactively address potential gaps in coverage
- Serve as a liaison between families providers and insurance companies to promote continuity of care
- Apply social work principles to assess family dynamics identify barriers to care and provide guidance or referrals for additional community resources
- Support families in navigating complex healthcare and social systems including addressing psychosocial challenges that may impact treatment adherence
- Advocate for patients and families to ensure access to medically necessary services
- Maintain accurate timely documentation in compliance with regulatory and organizational standards
*Generous benefits package including:
- Company matching 401(k)
- Multiple and affordable PPO benefits HSA options
- Generous Paid Time Off Holidays Extended Illness Days (EID)
- Short and Long Term Disability
- Personal and Family Medical Leave
- Clinical Ladder Program
- Excellent Orientation Program
- New Grad Mentorship
- Residency Programs
- National Continuing Education courses (local and online)
- Tuition Assistance
- Student Loan Repayment Assistance
- Productivity standards that allow for high quality patient care
We have been recognized numerous times by the St. Louis Post Dispatch as one of the Top Workplaces in St. Louis!
Under general direction monitors and assesses patient plan of care from pre-admission to post- discharge.
As part of the treatment team assists patient/family in goal setting to maximize patients independence in both home and community. Interacts with payers to obtain necessary authorizations for initiating and continuing care throughout admission to the program.
Preferred Professional Healthcare Degree in either
- Social Work
- Licensed PT OT COTA SLP
One year medical rehab case management experience (preferred)
Equal Opportunity Employer including Disabled/Veterans
Required Experience:
Manager
About Company
Select Medical is one of the largest providers of critical illness recovery hospitals, inpatient rehabilitation hospitals, outpatient rehabilitation centers, and occupational health clinics in the United States. Guided by our mission to provide an exceptional patient care experience t ... View more
