Case Manager

Responsibilities

• Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions.
• Coordinate patient care with the interdisciplinary team to guide treatment plans based on patient needs and preferences.
• Coordinate with the interdisciplinary team to establish tentative discharge plans and contingency plans.
• Participate in planning for and execution of patient discharge experience.
• Monitor patient experience and quality metrics: timeliness, service appropriateness, and payor requirements.
• Facilitate weekly team conferences 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 within 24 hours of admission.
• Assess goals and complete case management addendum within 48 hours of admission.
• Educate patient/family on rehabilitation and Case Manager role; establish a communication plan.
• Schedule and facilitate family conferences as needed.
• Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
• Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
• Make appropriate/timely referrals, including documentation to post-discharge providers/physician.
• Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in the utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed.

• 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 for the discipline within the state, hold an active license.
  • Must meet eligibility requirements for CCM or ACM certification upon entry or within two years.
  • CCM or ACM certification required OR must be obtained within two years for the Case Manager II position.
• Minimum Qualifications:
  • For Nursing:
    Associate Degree in Nursing; RN licensure with BSN preferred; diploma acceptable where required by state law.
  • For other licensed/certified professionals: bachelor's degree; graduate degree preferred.
  • 2 years of rehabilitation experience preferred.

• 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.
• Tuition reimbursement and continuing education opportunities.
• Company-matching 401(k) and employee stock purchase plans.
• Flexible spending and health savings accounts.
• A supportive, inclusive environment and engaging team culture.

Encompass Health is a nationwide provider of rehabilitation care with a growing network of locations and a focus on compassionate, patient-centered care.

Base pay range: $62,000.00/yr - $89,440.00/yr