Case Manager

Encompass Health • Cumming, GA

2h • Onsite

About The Position

Join Encompass Health, the leading provider of rehabilitation care in the nation, as a Case Manager. This role is a vital link between exceptional care and the transformative impact on each patient's journey, allowing you to leverage your clinical expertise while contributing to the well-being of individuals in your community. You will manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. Encompass Health is a rapidly growing national inpatient rehabilitation leader, recognized as one of the "World’s Most Admired Companies" and a recipient of the Fortune 100 Best Companies to Work For® Award. The company is committed to creating a supportive, inclusive, and caring environment.

Requirements

• 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.
• For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure.
• For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor’s degree.

Nice To Haves

• BSN preferred (for Nursing).
• Graduate degree is preferred (for all other eligible licensed or certified health care professionals).
• 2 years of rehabilitation experience preferred.

Responsibilities

• 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.

Benefits

• 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!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees