Case Manager

Case Manager – New Brunswick, NJ (Salary: $70,920.00–$)

Join Encompass Health as a Case Manager, bridging exceptional patient care with transformative outcomes.

• Work with the interdisciplinary team, guiding treatment plans based on patient needs and preferences.
• Coordinate with the interdisciplinary team to establish a tentative discharge plan and contingency plans.
• Participate in planning for and the execution of the 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 the Case Manager role; establish 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/physicians.
• 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 the case management on‑call schedule as needed.

• License or Certification:
  • Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (e.g., RN, SW, OT, PT, ST, Rehabilitation Counseling).
  • If licensure is required for one’s discipline within the state, the individual must hold an active license.
  • Must meet eligibility requirements for CCM® or ACM™ certification upon entry into this position OR within two years.
  • CCM® or ACM™ certification required OR must be obtained within two years of being placed in the Case Manager II position.
• Minimum Qualifications:
  • For Nursing: must possess a minimum of an Associate Degree in Nursing, RN licensure with BSN preferred; a diploma is acceptable only in states where diploma is the minimum requirement.
  • For all other eligible licensed or certified health care professionals: must possess a minimum of a bachelor’s degree; graduate degree preferred.
  • 2 years of rehabilitation experience preferred.

Encompass Health is an equal opportunity employer. We celebrate and welcome diversity in our inclusive culture and 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.