Overview Join to apply for the Case Manager role at Encompass Health
This range is provided by Encompass Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay $60,320.00/yr - $75,400.00/yr
Full time and PRN opportunities available
Responsibilities Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions.
Work with an interdisciplinary team, guiding 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 experiences.
Monitor patient experience: quality, timeliness, service appropriateness, payors, and expectations.
Facilitate team conferences weekly 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/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 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 one's discipline within the state, 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, possess a minimum of an Associate Degree in Nursing; RN licensure with BSN preferred. A diploma is acceptable only in states where diploma is the minimum licensure requirement.
For all other eligible licensed or certified health care professionals, possess a minimum of a bachelor's degree; graduate degree preferred.
2 years of rehabilitation experience preferred.
The Encompass Health Way We lead with empathy, do what's right, focus on the positive, and stand stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000+ professionals. 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.