Overview Case Manager position at Encompass Health. The base pay range is $33.00/hr - $40.00/hr. Your actual pay will be based on your skills and experience; speak with your recruiter to learn more.
Responsibilities Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions.
Coordinate with the interdisciplinary team to establish tentative discharge plans and contingency plans.
Participate in planning for and the execution of the patient discharge experience.
Monitor patient experience and ensure quality, 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 the Case Manager role; establish a communication plan.
Schedule and facilitate family conferences as needed; assist patient with timely procuring and planning of resources to avoid discharge delays or issues.
Monitor compliance with regulations for orthotics and prosthetics ordering and payment; make appropriate referrals 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 discipline (e.g., RN, SW, OT, PT, ST, Rehabilitation Counseling). If licensure is required for the discipline within the state, an active license is required. CCM® or ACM certification either at entry or within two years of starting the position.
Minimum Qualifications: For Nursing, an Associate Degree in Nursing with RN licensure; BSN preferred (diploma acceptable where allowed by state).
For other licensed or certified health care professionals, a bachelor’s degree is required and a graduate degree is preferred. Two years of rehabilitation experience is 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 and a team of 36,000 colleagues and growing. We are an equal opportunity employer and celebrate diversity in our inclusive culture.
Seniority level Entry level
Employment type Part-time
Job function Other
Industries Hospitals and Health Care