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. 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.

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.
• Assigns patient caseload to 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

• License or Certification:
  • CCM or ACM certification required.
  • For RN: Must hold a valid, unencumbered license in state where the hospital is located or from an appropriate Nursing Licensure Compact state.
  • 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.
  • 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.