Case Manager II

Encompass Health • Coralville, IA

23h

About The Position

Encompass Health is hiring a Case Manager II to manage resources and coordinate patient care from admission through post-discharge. The role uses clinical expertise to support patients’ rehabilitation journeys and oversee interdisciplinary plan-of-care decisions. The Case Manager works with patients, families, and the interdisciplinary team to plan treatment and discharge, monitor the patient experience, and help ensure timely access to resources and post-discharge services.

The Case Manager facilitates weekly team conferences and treatment-plan modifications, completes required case management documentation, and maintains knowledge of applicable regulations, standards, company policies, and department operations. The role also reviews case management reports and payor requirements, participates in utilization review and Acute Care Transfer meetings, and may participate in the case management on-call schedule as needed.

Requirements

• Must be qualified to independently complete an assessment within the scope of practice of the individual’s 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 entry or within two years of entry into the position.
• CCM® or ACM™ certification is required or must be obtained within two years of placement in the Case Manager II position.
• For nursing professionals, an Associate Degree in Nursing and RN licensure are required. A diploma is acceptable only in states where it meets the minimum requirement for licensure or certification.

Nice To Haves

• BSN preferred for nursing professionals.
• For other eligible licensed or certified health care professionals, a graduate degree is preferred.
• Two years of rehabilitation experience preferred.

Responsibilities

• Guide treatment plans with the interdisciplinary team based on patient needs and preferences.
• Coordinate tentative discharge and contingency planning with the interdisciplinary team.
• Participate in planning and executing the patient discharge experience.
• Monitor the 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 appropriate and timely referrals, including documentation to post-discharge providers and physicians.
• Ensure the accuracy of discharge and payor-related information in the patient record.
• 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 continuous education opportunities.
• Company-matching 401(k).
• Employee stock purchase plan.
• Flexible spending and health savings accounts.

What This Job Offers

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