Case Manager Career Opportunity
Recognized for your abilities as a Case Manager, this role involves managing resources, coordinating patient care from admission to post-discharge, overseeing interdisciplinary plan-of-care decisions, and influencing the future of care within the community.
Responsibilities
- Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
- Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.
- Participate in planning for and the execution of patient discharge experience.
- Monitor patient experience: quality, timeliness, service appropriateness, payor expectations.
- Facilitate team conferences weekly and coordinate all treatment plan modifications.
- Complete case management addendums and all required documentation.
- Maintain knowledge of regulations, standards, company policies, procedures, and department operations.
- Review and analyze case management reports, including Key Care Indicators, and plan appropriate actions.
- Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
- Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
- Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hours of admission.
- Perform assessment of goals and complete case management addendum within 48 hours of admission.
- Educate patient/family on rehabilitation and Case Manager role; establish communication plan.
- Schedule and facilitate family conferences as needed.
- Assist patient with timely procuring and planning of resources to avoid discharge delays or issues.
- Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
- Make appropriate and timely referrals, including documentation to post‑discharge providers and physicians.
- Ensure accuracy of discharge and payor‑related information in the patient record.
- Participate in utilization review process: data collection, trend review, and resolution actions.
- Participate in case management on‑call schedule as needed.
Benefits
- Affordable medical, dental, and vision plans for both full‑time and part‑time employees and their families.
- Generous paid time off that accrues over time.
- Opportunities for tuition reimbursement and continuous education.
- Company‑matching 401(k) and employee stock purchase plans.
- Flexible spending and health savings accounts.
- A vibrant community of individuals passionate about the work they do!
Qualifications
- License or Certification: must be qualified to independently complete an assessment within the scope of practice of the discipline (e.g., RN, SW, OT, PT, ST, Rehabilitation Counseling). If licensure is required within the state, a valid active license is required.
- Must meet eligibility requirements for CCM® or ACM™ certification upon entry into this position or within two years of entry.
- Minimum qualifications: For Nursing, a minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. Diploma acceptable only where it meets state requirements. For all other licensed or certified health care professionals, a minimum of a bachelor’s degree; a graduate degree preferred. Two years of rehabilitation experience preferred.
Encompass Health is an equal opportunity employer. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.