Case Manager

Encompass Health • Greenville, SC

10d

About The Position

Encompass Health is hiring a Case Manager to coordinate patient care from admission through post-discharge and help oversee interdisciplinary plan-of-care decisions. The role manages resources, connects exceptional rehabilitation care with patient needs, and contributes to patient well-being and meaningful outcomes. The Case Manager works with an interdisciplinary team, patients, families, payors, and post-discharge providers to support treatment planning, utilization review, and a timely discharge experience.

Requirements

• Must 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.
• Must hold an active license if licensure is required for the discipline in the state of practice.
• Must meet eligibility requirements for CCM® or ACM™ certification upon entry into 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 candidates, an Associate Degree in Nursing and RN licensure are required; a BSN is preferred. A diploma is acceptable only in states where it is the minimum requirement for licensure or certification.
• Other eligible licensed or certified health care professionals must have at least a bachelor's degree.

Nice To Haves

• BSN for nursing candidates.
• Graduate degree for other eligible licensed or certified health care professionals.
• 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 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 meetings to identify trends and collaborate on reducing transfers.
• Meet with the patient and family within 24 hours of admission, according to the Patient Arrival and Initial Visit Standard.
• Assess goals and complete a 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 or 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 and appropriate referrals, with documentation, to post-discharge providers and physicians.
• Ensure 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