Overview Certified Case Manager Career Opportunity. Recognized for your abilities as a Case Manager. Join Encompass Health, where being a Case Manager connects exceptional care with meaningful patient outcomes. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions.
Glimpse Into Our World Encompass Health is a rapidly growing national inpatient rehabilitation leader. We offer growth opportunities and a team-focused culture dedicated to patients. Our accolades include recognition as one of the Worlds Most Admired Companies and the Fortune 100 Best Companies to Work For Award.
Starting Perks And Benefits Affordable medical, dental, and vision plans for full-time and part-time employees and their families.
Generous paid time off that accrues over time.
Tuition reimbursement and opportunities for continuous education.
Company-matching 401(k) and employee stock purchase plans.
Flexible spending and health savings accounts.
A supportive, inclusive environment.
Responsibilities 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.
Plan for and execute 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 reduce ACTs.
Meet with patient/family within 24 hours of admission as per Patient Arrival and Initial Visit Standard.
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 procurement/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 schedules as needed.
Qualifications Must be qualified to independently complete an assessment within the scope of practice of the individual’s discipline (for example, RN, SW, OT, PT, ST, Rehabilitation Counseling).
If licensure is required for the discipline within the state, an active license is required.
Must meet eligibility requirements for CCM® or ACM certification upon entry or within two years of entry.
CCM® or ACM certification required or must be obtained within two years of placement in the Case Manager II position.
For Nursing, minimum of an Associate Degree in Nursing; RN licensure with BSN preferred. A diploma is acceptable where the minimum requirement is a diploma.
For all other eligible licensed/certified health care professionals, minimum of a bachelor’s degree; graduate degree preferred.
2 years of rehabilitation experience preferred.
Seniorities and Job Details Seniority level: Entry level
Employment type: Full-time
Job function: Other
Industries: Hospitals and Health Care
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