Case Manager II

Encompass Health - Pelham, AL

Full-time - Mid Level

Pelham, AL

10,001+ employees

Hospitals

About the position

The Case Manager II position at Encompass Health is a vital role that connects exceptional patient care with transformative outcomes. This position involves managing resources, coordinating patient care from admission to post-discharge, and overseeing interdisciplinary care plans. It offers an opportunity to leverage clinical expertise while contributing to the well-being of individuals in the community, all within a supportive and inclusive environment.

Responsibilities

• Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
• Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.
• Participate in planning for and the execution of patient discharge experience.
• Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
• Facilitate team conferences weekly and coordinate all treatment plan modifications.
• Complete case management addendums and all required documentation.
• Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
• Review/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 collaboratively reduce ACTs.
• Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission.
• Perform assessment of goals and complete case management addendum within 48 hours of admission.
• Educate patient/family on rehabilitation and Case Manager role; establish communication plan.
• Schedule and facilitate family conferences as needed.
• Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
• Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
• Make appropriate/timely referrals, including documentation to post discharge providers/physician.
• Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed.

Requirements

• Must have a valid RN License or equivalent licensure for other disciplines.
• Must have a valid Accredited Case Manager certification or obtain it within two years of entry into the position.
• Minimum of a Bachelor's degree in a relevant field; a graduate degree is preferred.
• For Nursing, must possess a minimum of an Associate Degree in Nursing, RN licensure with BSN preferred.
• 2 years of rehabilitation experience preferred.

Nice-to-haves

• Experience in a rehabilitation setting.
• Strong communication and interpersonal skills.
• Ability to work collaboratively in a team environment.

Benefits

• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Paid time off
• Tuition reimbursement
• Vision insurance