Case Manager

Encompass Health Corporation; Kissimmee (FL); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Health, dental, vision plans

Generous PTO

Tuition reimbursement

401(k) matching

Flexible spending

Job summary

Encompass Health Corporation is seeking a Case Manager to coordinate patient care from admission to post-discharge. You will lead interdisciplinary treatment plans, ensure timely discharges, and monitor patient experiences throughout the continuum of care.

The role emphasizes collaboration with a team, adherence to regulatory standards, and proactive planning to optimize patient outcomes and minimize discharge delays. Strong clinical foundation and CCM/ACM readiness are valued.

Qualifications

• Must be qualified to independently complete an assessment within the scope of practice.
• Active license in one's discipline if licensure is required.
• CCM or ACM certification must be obtained within two years of entry into this position.

Responsibilities

• Work with an interdisciplinary team to guide treatment plans.
• Coordinate tentative discharge plans and contingencies.
• Participate in planning for and the execution of patient discharge experience.
• Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
• Facilitate team conferences weekly and coordinate all treatment plan modifications.
• Complete case management addendums and all required documentation.
• Maintain knowledge of regulations/policies/procedures and department operations.
• Review/case management reports and plan appropriate actions.
• Understand contract levels, exclusions, payor requirements, and recertification needs.
• Attend Acute Care Transfer meetings to identify trends and reduce ACTs.
• Meet with patient/family 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 planning of resources to avoid discharge delays.
• Monitor compliance with orthotics and prosthetics ordering and payment.
• Make referrals to post-discharge providers/physicians with documentation.
• Ensure accuracy of discharge and payor-related information in patient record.
• Participate in utilization review data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed.

Skills

Interdisciplinary teamwork

Assessment capability

Documentation

Education

Bachelor's degree in healthcare

RN licensure with BSN preferred

CCM or ACM certification within 2 years

Job description

Case Manager Career Opportunity

Recognized for your abilities as a Case Manager

Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.

A Glimpse into Our World

At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Starting Perks and Benefits

AtEncompassHealth,wearecommittedtocreatingasupportive,inclusive,andcaringenvironment where you can thrive. From day one, you will have access to:

• Affordablemedical,dental,andvisionplansforbothfull-timeandpart-timeemployeesand their families.
• Generouspaidtimeoffthataccruesover time.
• Opportunitiesfortuitionreimbursementandcontinuous education.
• Company-matching401(k)andemployeestockpurchase plans.
• Flexiblespendingandhealthsavings accounts.
• Avibrantcommunityofindividualspassionateabouttheworkthey do!

Become the Case Manager you always wanted to be

• Work withinterdisciplinaryteam,guidingtreatmentplansbasedonpatientneedsand preferences.
• Coordinatewithinterdisciplinaryteamtoestablishtentativedischargeplanandcontingency plans.
• Participateinplanningforandtheexecutionofpatientdischarge experience.
• Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
• Facilitateteamconferencesweeklyandcoordinatealltreatmentplan modifications.
• Completecasemanagementaddendumsandallrequired documentation.
• Maintainknowledgeofregulations/standards,companypolicies/procedures,anddepartment operations.
• Review/analyzecasemanagementreports,includingKeyCareIndicators,andplanappropriate actions.
• Understandcommercialcontractlevels,exclusions,payorrequirements,andrecertification needs.
• Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
• Meetwithpatient/familyperPatientArrivalandInitialVisitStandardwithin24hrs.of admission.
• Performassessmentofgoalsandcompletecasemanagementaddendumwithin48hoursof admission.
• Educatepatient/familyonrehabilitationandCaseManagerrole;establishcommunication plan.
• Scheduleandfacilitatefamilyconferencesas needed.
• Assistpatientwithtimelyprocuring/planningofresourcestoavoiddischargedelaysor issues.
• Monitorcompliancewithregulationsfororthoticsandprostheticsorderingand payment.
• Makeappropriate/timelyreferrals,includingdocumentationtopostdischarge providers/physician
• Ensureaccuracyofdischargeandpayor-relatedinformationinthepatient record
• Participateinutilizationreviewprocess:datacollection,trendreview,andresolution actions.
• Participateincasemanagementon-callscheduleas needed.

Qualifications

• Licenseor Certification:
• Must be qualified to independently complete an assessment within the scope of practiceofhis/herdiscipline(forexample,RN,SW,OT,PT,ST,andRehabilitation Counseling).
• Iflicensureisrequiredforone'sdisciplinewithinthestate,individualmustholdan active license.
• MustmeeteligibilityrequirementsforCCM®orACM™certificationuponentryintothis position OR within two years of entry into the position.
• CCM®orACM™certificationrequiredORmustbeobtainedwithintwoyearsofbeing placed in the Case Manager II position.

Minimum Qualifications:

• For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirementforlicensureorcertificationisadiplomaratherthanan a ssociatedegree.
• Forallothereligiblelicensedorcertifiedhealthcareprofessionals,mustpossessa minimum of a bachelor's degree and graduate degree is preferred.
• 2yearsofrehabilitationexperience preferred.

The Encompass Health Way

We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!

At Encompass Health, we celebrate and welcome diversity in our inclusive culture. 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.