Case Manager

Encompass Health; Houston (TX); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

Paid time off

Tuition reimbursement

401(k) match

Flexible spending accounts

Job summary

Encompass Health is seeking a Case Manager in Houston, Texas, to manage patient care resources and coordinate care throughout the patient journey. This role demands strong interdisciplinary coordination and effective communication skills.

The ideal candidate will hold an active nursing license or equivalent qualification, with at least an Associate Degree in Nursing and a preference for two years of rehabilitation experience. Benefits include competitive medical plans, paid time off, and educational opportunities.

Qualifications

• Must be licensed to independently assess within the scope of practice.
• CCM® or ACM™ certification required within two years.
• Minimum of 2 years of rehabilitation experience preferred.

Responsibilities

• Manage patient care from admission to post-discharge.
• Coordinate treatment plans with interdisciplinary teams.
• Monitor patient experience and compliance with standards.

Skills

Patient care coordination

Interdisciplinary teamwork

Regulatory compliance

Assessment skills

Effective communication

Education

Associate Degree in Nursing or equivalent

Bachelor’s degree for other licensed health care professionals

Job description

Case Manager Career Opportunity

Join Encompass Health as a Case Manager. Manage resources, coordinate patient care from admission to post‑discharge, and oversee interdisciplinary plan‑of‑care decisions. This role places you as a vital link between exceptional care and the transformative impact on each patient's journey.

Responsibilities

• Work with an interdisciplinary team, guiding treatment plans based on patient needs and preferences.
• Coordinate with the team to establish tentative discharge plans and contingency plans.
• Participate in planning for and the execution of patient discharge experiences.
• Monitor patient experience, quality, timeliness, service appropriateness, payor expectations.
• Facilitate weekly team conferences and coordinate all treatment plan modifications.
• Complete case management addendums and required documentation.
• Maintain knowledge of regulations, standards, company policies, 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 the Case Manager role; establish a communication plan.
• Schedule and facilitate family conferences as needed.
• Assist patients in timely procurement/planning of resources to avoid discharge delays.
• Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
• Make appropriate/timely referrals, including documentation to post‑discharge providers/physicians.
• Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review processes: data collection, trend review, and resolution actions.
• Participate in the case management on‑call schedule as needed.

Qualifications

• License or Certification:
  • Must be qualified to independently complete an assessment within the scope of practice (e.g., RN, SW, OT, PT, ST, Rehabilitation Counseling).
  • Hold an active license if required by the state.
  • Meet eligibility requirements for CCM® or ACM™ certification upon entry or within two years of entry.
  • Must obtain CCM® or ACM™ certification within two years of being placed in the Case Manager II position.
• Minimum Qualifications:
  • For Nursing: minimum Associate Degree in Nursing; RN licensure preferred; diploma accepted only if state requires it.
  • For other licensed or certified health care professionals: minimum bachelor’s degree; graduate degree preferred.
  • Preferred: 2 years of rehabilitation experience.

Benefits

• Affordable medical, dental, and vision plans for 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 passionate individuals.

About Encompass Health

Encompass Health is a trusted leader in post‑acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals. We celebrate and welcome diversity in an inclusive culture, providing 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.