Case Manager

About the role

Join Encompass Health as a Case Manager and serve as a vital link between exceptional care and transformative patient outcomes. This role allows you to leverage your clinical expertise to manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions in your community.

About us

Encompass Health is the nation’s leading provider of rehabilitation care, offering growth opportunities and a collaborative environment. We’ve been recognized as one of the "World's Most Admired Companies" and received the Fortune 100 Best Companies to Work For® Award, among other accolades.

Responsibilities

• Work with an interdisciplinary team to guide treatment plans based on patient needs and preferences.
• Coordinate with the team to establish tentative discharge plans and contingency plans.
• Participate in planning and executing the patient discharge experience.
• Monitor patient experience, including quality, timeliness, service appropriateness, payors, and expectations.
• 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, 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 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/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.

Qualifications

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

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.
• Tuition reimbursement and continuous education opportunities.
• Company-matching 401(k) and employee stock purchase plans.
• Flexible spending and health savings accounts.

Our values

At Encompass Health, we lead with empathy, do what’s right, focus on the positive, and stand stronger together. 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.