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Base pay range $69,000.00/yr - $84,000.00/yr
Overview Case Manager opportunity at Encompass Health, where you manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This role positions you as a vital link between exceptional care and meaningful patient outcomes within a leading nationwide inpatient rehabilitation organization.
Responsibilities Work with an interdisciplinary team, guiding treatment plans based on patient needs and preferences.
Coordinate with the team to establish tentative discharge plans and contingency plans.
Participate in planning for and executing the patient discharge experience.
Monitor patient experience across quality, timeliness, service appropriateness, and payor expectations.
Facilitate weekly team conferences and coordinate 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.
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 patient with timely procurement/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 License or Certification:
Must be qualified to independently complete an assessment within the scope of practice of the respective discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
If licensure is required for the 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 of entry into the position.
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 the minimum requirement is a diploma.
For 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.
The Encompass Health Way We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations. We celebrate diversity and provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, disability, or any other protected classification.
Seniority level Entry level
Employment type Part-time
Job function Other
Industries Hospitals and Health Care
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