Case Manager II

Encompass Health • Coralville, IA

2h

About The Position

Encompass Health is hiring a Case Manager II to coordinate patient care from admission through post-discharge, manage resources, and oversee interdisciplinary plan-of-care decisions. The Case Manager works with patients, families, interdisciplinary teams, payors, and post-discharge providers to support appropriate treatment planning, effective transitions, and meaningful patient outcomes. The role includes assessment, documentation, utilization review, discharge coordination, and participation in an on-call schedule as needed.

Requirements

• Must be qualified to independently complete an assessment within the scope of practice of the applicable discipline, such as RN, SW, OT, PT, ST, or Rehabilitation Counseling.
• Must hold an active license if licensure is required for the discipline in the state.
• Must meet eligibility requirements for CCM® or ACM™ certification upon entering the position or within two years of entry; certification must be obtained within two years of placement in the Case Manager II position.
• For nursing, must have at least an Associate Degree in Nursing and RN licensure. A diploma is acceptable only in states where it is the minimum requirement for licensure or certification.
• For other eligible licensed or certified health care professionals, must have at least a bachelor's degree.

Nice To Haves

• BSN preferred for nursing candidates.
• Graduate degree preferred for other eligible licensed or certified health care professionals.
• Two years of rehabilitation experience preferred.

Responsibilities

• Guide treatment plans with the interdisciplinary team based on patient needs and preferences.
• Coordinate tentative discharge plans and contingency plans with the interdisciplinary team.
• Participate in planning and carrying out the patient discharge experience.
• Monitor patient experience, including quality, timeliness, service appropriateness, payors, and expectations.
• Facilitate weekly team conferences and coordinate treatment plan modifications.
• Complete case management addendums and required documentation.
• Maintain knowledge of regulations, standards, company policies and 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 meetings to identify trends and collaboratively reduce transfers.
• Meet with the patient and family within 24 hours of admission, in accordance with the Patient Arrival and Initial Visit Standard.
• Assess goals and complete the case management addendum within 48 hours of admission.
• Educate patients and families about rehabilitation and the Case Manager role, and establish a communication plan.
• Schedule and facilitate family conferences as needed.
• Help patients procure and plan resources in a timely manner to avoid discharge delays or issues.
• Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
• Make timely, appropriate referrals, including documentation, to post-discharge providers and physicians.
• Ensure discharge and payor-related information in the patient record is accurate.
• Participate in utilization review, including data collection, trend review, and resolution actions.
• Participate in the case management on-call schedule as needed.

Benefits

• Affordable medical, dental, and vision plans for full-time and part-time employees and their families.
• Paid time off that accrues over time.
• Tuition reimbursement and continuing education opportunities.
• Company-matching 401(k).
• Employee stock purchase plan.
• Flexible spending and health savings accounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree