Case Manager

Encompass Health • Savannah, GA

2d

About The Position

Encompass Health is hiring a Case Manager to coordinate patient care from admission through post-discharge and oversee interdisciplinary plan-of-care decisions. The role manages resources, supports patient well-being, and helps ensure meaningful rehabilitation outcomes. The Case Manager works with an interdisciplinary team to guide treatment plans according to patient needs and preferences, coordinate discharge planning, and support the patient and family throughout the rehabilitation experience.

Requirements

• Must be qualified to independently complete an assessment within the scope of practice of the individual's discipline, such as nursing, social work, occupational therapy, physical therapy, speech therapy, 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.
• CCM® or ACM™ certification is required, or 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 meets the minimum licensure or certification requirement.

Nice To Haves

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

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 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 the patient and family about rehabilitation and the Case Manager role, and establish a communication plan.
• Schedule and facilitate family conferences as needed.
• Assist patients with timely procurement and planning of resources to prevent 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 the utilization review process, 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
• Education Level: Associate degree