Case Manager

Encompass Health • Richardson, TX

13d

About The Position

The Case Manager is a key link between clinical care and patient outcomes at Encompass Health, a national inpatient rehabilitation provider. The role manages resources and coordinates patient care from admission through post-discharge, while overseeing interdisciplinary plan-of-care decisions. The Case Manager works with patients, families, clinical teams, payors, and post-discharge providers to support appropriate treatment, timely discharge, and continuity of care.

The Case Manager guides treatment planning according to patient needs and preferences, coordinates discharge and contingency plans, facilitates weekly team conferences, and completes required case management documentation. The role monitors patient experience and care appropriateness, reviews case management reports and utilization trends, and supports compliance with applicable regulations, standards, policies, and procedures. The position also participates in an on-call schedule as needed.

Candidates must be qualified to independently complete assessments within their discipline’s scope of practice and hold an active state license when required. CCM® or ACM™ certification eligibility is required upon entry or within two years; certification must be held or obtained within two years of placement in the Case Manager II position. Nursing candidates need at least an Associate Degree in Nursing and RN licensure; a BSN is preferred. Other eligible licensed or certified healthcare professionals need at least a bachelor’s degree, with a graduate degree preferred. Two years of rehabilitation experience is preferred.

Requirements

• Must be qualified to independently complete an assessment within the scope of practice of the relevant 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.
• Nursing candidates must have at least an Associate Degree in Nursing and RN licensure. A diploma is acceptable only in states where a diploma is the minimum requirement for licensure or certification.

Nice To Haves

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

Responsibilities

• Guide treatment plans with the interdisciplinary team 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 modifications to treatment plans.
• 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 timely, appropriate referrals to post-discharge providers and physicians, with required documentation.
• 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 and health savings accounts.

What This Job Offers

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