Responsibilities Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions.
Coordinate patient care with the interdisciplinary team to guide treatment plans based on patient needs and preferences.
Coordinate with the interdisciplinary team to establish tentative discharge plans and contingency plans.
Participate in planning for and execution of patient discharge experience.
Monitor patient experience and quality metrics: timeliness, service appropriateness, and payor requirements.
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/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.
Assess goals and complete case management addendum within 48 hours of admission.
Educate patient/family on rehabilitation and Case Manager role; establish a 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/physician.
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 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 discipline (e.g., RN, SW, OT, PT, ST, Rehabilitation Counseling).
If licensure is required for the discipline within the state, hold an active license.
Must meet eligibility requirements for CCM or ACM certification upon entry or within two years.
CCM or ACM certification required OR must be obtained within two years for the Case Manager II position.
Minimum Qualifications: For Nursing: Associate Degree in Nursing; RN licensure with BSN preferred; diploma acceptable where required by state law.
For other licensed/certified professionals: bachelor's degree; graduate degree preferred.
2 years of rehabilitation experience preferred.
Starting Perks And Benefits Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
Generous paid time off that accrues over time.
Tuition reimbursement and continuing education opportunities.
Company-matching 401(k) and employee stock purchase plans.
Flexible spending and health savings accounts.
A supportive, inclusive environment and engaging team culture.
About Encompass Health Encompass Health is a nationwide provider of rehabilitation care with a growing network of locations and a focus on compassionate, patient-centered care.
Base pay range: $62,000.00/yr - $89,440.00/yr