Case Manager, Senior

Encompass Health • Cookeville, TN

2h

About The Position

The Senior Case Manager performs advanced case management duties and serves as a vital link between patient care and positive outcomes. The role manages resources, coordinates patient care from admission through post-discharge, and oversees interdisciplinary plan-of-care decisions. The Senior Case Manager analyzes length of stay, costs, outliers, and potential discharge-planning issues; assigns patient caseloads; and leads interdisciplinary collaboration with other departments, medical staff, and hospital leadership. The position also supports onboarding and training as a preceptor and oversees department staff and operations when the DCM is absent.

Requirements

• CCM or ACM certification.
• For RN candidates: a valid, unencumbered license in the state where the hospital is located or from an appropriate Nursing Licensure Compact state.
• For licensed or certified health care professionals other than RNs: hold a valid, active, unencumbered license if licensure is available in the hospital's state and applicable to the individual's educational level.
• For RN candidates: minimum associate degree in nursing (AND or ASN); a nursing diploma is acceptable only in states where it is the minimum requirement for RN licensure.
• For licensed or certified health care professionals other than RNs: minimum bachelor's degree in a health- or human-services-related field.
• Minimum 2 years of case management experience, including Utilization Review and Discharge Planning in an inpatient rehabilitation setting.

Nice To Haves

• Bachelor of Science in Nursing (BSN) for RN candidates.
• Master’s degree for licensed or certified health care professionals other than RNs.

Responsibilities

• Perform case management duties and tasks at an advanced level.
• Demonstrate understanding of patient outcomes, hospital goals, and the department’s impact on both.
• Analyze length of stay, costs, outliers, and potential discharge-planning issues.
• Assign patient caseloads to department members and self to support optimal delivery of case management services.
• Act as an interdisciplinary team leader and collaborate with other departments, medical staff, and hospital leadership.
• Serve as a preceptor for new case management staff or students, assisting with onboarding, orientation, and training.
• Maintain knowledge of hospital performance improvement programs, CMS Conditions of Participation, Medicare Coverage Criteria, and relevant Joint Commission standards.
• Oversee department staff and operations in the absence of the DCM.

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: Senior
• Education Level: Associate degree