Case Manager

Encompass Health • Parkersburg, WV

7d

About The Position

The Case Manager at Encompass Health is a key link between rehabilitation care and patients’ outcomes. The role manages resources, coordinates patient care from admission through post-discharge, and oversees interdisciplinary plan-of-care decisions. The Case Manager works with patients, families, and interdisciplinary teams to support appropriate treatment planning, discharge preparation, and continuity of care.

Requirements

• Must be qualified to independently complete an assessment within the scope of practice of their 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 entry into the position or within two years of entry.
• 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 licensing or certification requirement.
• For other eligible licensed or certified health care professionals, must have at least a bachelor’s degree.

Nice To Haves

• BSN preferred for nursing candidates.
• Graduate degree preferred for other eligible licensed or certified health care professionals.
• Two years of rehabilitation experience preferred.
• CCM® or ACM™ certification, or the ability to obtain it within two years of placement in the Case Manager II position.

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, 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 collaborate on reducing 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 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 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 and appropriate referrals, including documentation, to post-discharge providers and physicians.
• Ensure the accuracy of discharge and payor-related information in patient records.
• 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