Case Manager, Senior

About the role

Join Encompass Health, where being a Senior 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.

Responsibilities

• Performs case management duties and tasks at an advanced level.
• Demonstrates understanding of patient outcomes, hospital goals and the department's impact on both.
• Analyzes LOS, costs, outliers, and potential discharge planning issues.
• Sets up patient caseload for department members and self for optimal delivery of Case Management services.
• Acts as an interdisciplinary team leader and collaborates with other departments, medical staff, and hospital leadership.
• Acts as a preceptor for new case management staff or students - assists with onboarding, orientation, training.
• Maintains knowledge and understanding of hospital performance improvement programs, CMS Conditions of Participation, Medicare Coverage Criteria, and relevant Joint Commission standards.
• Oversees department staff and operations in the absence of the DCM.

Qualifications

• Licence or Certification: CCM or ACM certification required.
• License or Certification: For RN: Must hold a valid, unencumbered license in state where the hospital is located or from an appropriate Nursing Licensure Compact state.
• License or Certification: For licensed or certified health care professional other than RN: If licensure is available within the state where the hospital is located and is applicable to the individual's educational level (e.g., BSW), the individual must hold a valid, active, unencumbered license.
• Minimum Qualifications: For RN: Minimum of associate degree in nursing (AND or ASN) required. Bachelor's degree (BSN) preferred. A diploma in nursing is acceptable only in those states whose minimum requirement for RN licensure is a diploma rather than an associate degree.
• Minimum Qualifications: For licensed or certified health care professional other than RN: Minimum of bachelor's degree in a health or human services-related field. Master's degree preferred.
• Minimum 2 years of experience in Case Management, including Utilization Review and Discharge Planning in an inpatient rehabilitation setting.