Case Manager, Senior

Encompass Health • Vero Beach, FL

5d

About The Position

Encompass Health is seeking a Senior Case Manager to provide advanced case management in an inpatient rehabilitation setting. The role manages resources and coordinates patient care from admission through post-discharge, while overseeing interdisciplinary plan-of-care decisions and contributing to patient outcomes and hospital goals. The Senior Case Manager analyzes length of stay, costs, outliers, and discharge-planning issues; assigns caseloads to support effective service delivery; and leads collaboration among interdisciplinary teams, departments, medical staff, and hospital leadership. The position also supports onboarding and training of new case management staff or students and oversees department staff and operations when the Director of Case Management is absent.

Candidates must hold CCM or ACM certification. RN candidates need an associate degree in nursing and an active, unencumbered license valid where the hospital is located or through an appropriate Nursing Licensure Compact state. Other licensed or certified healthcare professionals need at least a bachelor’s degree in a health or human services-related field and an applicable active, unencumbered license when available in the state. At least two years of case management experience, including utilization review and discharge planning in an inpatient rehabilitation setting, is required.

Requirements

• CCM or ACM certification.
• For RN candidates: valid, unencumbered license in the state where the hospital is located or from an appropriate Nursing Licensure Compact state.
• For licensed or certified healthcare professionals other than RNs: an applicable, valid, active, unencumbered license when licensure is available in the state for the individual’s educational level.
• For RN candidates: 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 healthcare professionals other than RNs: bachelor’s degree in a health or human services-related field.
• At least 2 years of case management experience, including utilization review and discharge planning in an inpatient rehabilitation setting.

Nice To Haves

• Bachelor’s degree in nursing (BSN) for RN candidates.
• Master’s degree for licensed or certified healthcare 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.
• Precept new case management staff or students and assist 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 Director of Case Management.
• Manage resources and coordinate patient care from admission through post-discharge.
• Oversee interdisciplinary plan-of-care decisions.

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