Case Manager

Case Manager Career Opportunity

Recognized for your abilities as a Case Manager

Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.

The Senior Case Manager assists the DCM with the coordination and management of day-to-day operations of the Case Management department including, but not limited to case manager schedule and assignments, KCI / outcomes monitoring, medical record reviews, performance improvement activities, monitoring adherence to standards of Care Management and Readmission Prevention programs, and utilization review process. The senior case manager provides training and mentoring for new case managers and students and serves as a subject matter expert and resource to case managers in the department and the interdisciplinary team. The senior case manager serves as department supervisor in the absence of the hospital DCM or Senior Certified DCM. The Senior Case Manager is assigned a patient case load consistent with hospital operational needs taking into consideration additional duties and tasks being performed.

A Glimpse into Our World

At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Starting Perks and Benefits

At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:

• 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.
• Opportunities for tuition reimbursement and continuous education.
• Company-matching 401(k) and employee stock purchase plans.
• Flexible spending and health savings accounts.
• A vibrant community of individuals passionate about the work they do!

Become the Case Manager you always wanted to be

• Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
• Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans
• Participate in planning for and the execution of patient discharge experience.
• Monitor patient experience: quality/timeliness/service appropriateness/payors/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/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 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 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 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 (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
  • If licensure is required for one's discipline within 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 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, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree.
  • For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.
  • 2 years of rehabilitation experience 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 exceptional individuals and growing!

At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.

We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!

Qualifications

License or Certification:

• CCM or ACM certification required.

• Registered Nurse (RN:

• Must hold a valid, unencumbered license in state where the hospital is located or from an appropriate Nursing Licensure Compact state.

• Licensed or certified health care professional other than RN:

• If licensure is available within the state where the hospital is located and is applicable to the individual's educational level (e.g., BSW), the individual must hold a valid, active, unencumbered license.

Minimum Qualifications:

• Registered Nurse (RN):

• Minimum of associate degree in nursing (AND or ASN) required. Bachelor's degree (BSN) preferred.

• A diploma in nursing is acceptable only in those states whose minimum requirement for RN licensure is a diploma rather than an associate degree.

• Licensed or certified health care professional other than RN:

• Minimum of bachelor's degree in a health or human services-related field. Master's degree preferred.

• Minimum 2 years of experience in Case Management, including Utilization Review and Discharge Planning in an inpatient rehabilitation setting.

Machines, Equipment Used:

• General office equipment such as computer/laptop, telephone, copy/fax machine, calculator, scanner, etc.

• Microsoft Office software, to include Outlook, Word, and Excel.

Physical Requirements:

• Visual acuity, speech recognition, speech clarity.

• Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds including medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements.

Skills and Abilities:

• Oral communication, written communication, active listening. Must be able to speak and understand English.

• Information ordering, deductive reasoning, social perceptiveness, time management, critical thinking.

• Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.

• Ability to work independently without continuous supervision.

Environmental Conditions:

• Indoor, temperature controlled, smoke-free environment.

• Handicapped accessible.

• May work under stressful circumstances at times.

Proficiency or Productivity Standards:

• Has regular, reliable, and predictable attendance and punctuality.

• Adheres to dress code including wearing ID badge.

• Adheres to Standards of Business Conduct.

• May be required to work weekdays and/or weekends, evenings and/or night shifts if needed to meet deadlines.

• May be required to work on religious and/or legal holidays on scheduled days/shifts.

• May be required to perform other duties as assigned by supervisor.

• This position will support cultural diversity by promoting and maintaining an inclusive work environment and culture that is respectful and accepting of diversity.