Case Manager, Senior

Encompass Health • Vero Beach, FL

5d

About The Position

The Senior Case Manager performs case management duties at an advanced level and helps coordinate patient care from admission through post-discharge. The role manages resources, contributes to interdisciplinary plan-of-care decisions, and connects clinical expertise with patient outcomes and hospital goals.

The Senior Case Manager analyzes length of stay, costs, outliers, and potential discharge-planning issues; assigns patient caseloads to department members and self; and leads interdisciplinary collaboration with other departments, medical staff, and hospital leadership. The role also precepts new case management staff or students, assisting with onboarding, orientation, and training. It maintains knowledge of hospital performance improvement programs, CMS Conditions of Participation, Medicare Coverage Criteria, and relevant Joint Commission standards, and oversees department staff and operations in the absence of the DCM.

Requirements

• CCM or ACM certification required.
• For RN candidates: valid, unencumbered license in the state where the hospital is located or an appropriate Nursing Licensure Compact state.
• For licensed or certified healthcare professionals other than RNs: where applicable and available for the individual’s educational level, a valid, active, unencumbered state license is required.
• For RN candidates: minimum associate degree in nursing (AND or ASN); a nursing diploma is acceptable only in states where a diploma is the minimum requirement for RN licensure.
• For licensed or certified healthcare 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’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 (LOS), costs, outliers, and potential discharge-planning issues.
• Assign patient caseloads to department members and self for 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 DCM.
• Manage resources and coordinate patient care from admission to 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 continuous education opportunities.
• Company-matching 401(k).
• Employee stock purchase plan.
• Flexible spending accounts and health savings accounts.

What This Job Offers

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