Case Manager

Encompass Health • Yuma, AZ

5d

About The Position

Encompass Health is hiring a Case Manager to coordinate patient care from admission through post-discharge in an inpatient rehabilitation setting. The Case Manager manages resources, guides interdisciplinary plan-of-care decisions, and helps connect exceptional care with each patient's needs and goals. The role includes coordinating discharge planning, monitoring the patient experience and payer requirements, supporting patients and families, and contributing to utilization review and quality improvement. The position may involve participation in a case management on-call schedule as needed.

Requirements

• Be qualified to independently complete an assessment within the scope of practice of the applicable discipline, such as nursing, social work, occupational therapy, physical therapy, speech therapy, or rehabilitation counseling.
• Hold an active license if licensure is required for the discipline in the state of practice.
• 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 if not already held.
• For nursing candidates, possess at least an Associate Degree in Nursing and RN licensure. A BSN is preferred; a diploma is accepted only in states where it meets the minimum licensure or certification requirement.
• For other eligible licensed or certified healthcare professionals, possess at least a bachelor's degree.

Nice To Haves

• BSN for nursing candidates.
• Graduate degree for eligible licensed or certified healthcare professionals other than nursing.
• Two years of rehabilitation experience.

Responsibilities

• Work with the interdisciplinary team to guide treatment plans based on patient needs and preferences.
• Coordinate with the interdisciplinary team to establish tentative discharge and contingency plans.
• 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 and 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 (ACT) meetings to identify trends and collaboratively reduce ACTs.
• 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 obtain and plan resources in a timely manner to avoid discharge delays or issues.
• Monitor compliance with regulations for ordering and payment of orthotics and prosthetics.
• Make appropriate and timely 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 accounts and health savings accounts.
• Supportive, inclusive, and caring work environment.

What This Job Offers

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