Case Manager

Case Manager Career Opportunity Recognized for your abilities as a Case Manager, are you ready for a role that brings your career closer to home and heart? Join Encompass Health as a vital link between exceptional care and each patient's journey. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. 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 continuous education opportunities. Company-matching 401(k) and employee stock purchase plans. Flexible spending accounts and health savings accounts. Vibrant community of individuals passionate about their work. Responsibilities Work with interdisciplinary team to guide treatment plans based on patient needs and preferences. Coordinate with the team to establish tentative discharge and contingency plans. Participate in planning for and execution of patient discharge experience. Monitor patient experience: quality, timeliness, service appropriateness, payor expectations. Facilitate weekly team conferences and coordinate all treatment plan modifications. Complete case management addendums and required documentation. Maintain knowledge of regulations, standards, company policies, 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 meetings to identify trends and collaborate to reduce ACTs. Meet with patient and family per Patient Arrival and Initial Visit Standard within 24 hrs of admission. Perform assessment of goals and complete case management addendum within 48 hours of admission. Educate patient/family on rehabilitation and case manager role; establish communication plan. Schedule and facilitate family conferences as needed. Assist patient with timely procurement and planning of resources to avoid discharge delays. Monitor compliance with regulations for orthotics and prosthetics ordering and payment. Make timely referrals, including documentation to post-discharge providers/physicians. Ensure accuracy of discharge and payor-related information in the patient record. Participate in 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 his/her discipline (e.g., RN, SW, OT, PT, ST, Rehabilitation Counseling). If licensure is required in the state, individual must hold an active license. Must meet eligibility requirements for CCM or ACM certification upon entry into this position or within two years. CCM or ACM certification required or must be obtained within two years. Minimum Qualifications: For Nursing: minimum Associate Degree in Nursing, RN licensure with BSN preferred; diploma acceptable only if state requires. For other licensed or certified professionals: minimum bachelor’s degree; graduate degree preferred. 2 years of rehabilitation experience preferred. Equal Employment Opportunity Encompass Health is an equal opportunity employer. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification. #J-18808-Ljbffr