Case Manager

Encompass Health - Sarasota, FL

Full-time - Mid Level

Sarasota, FL

Hospitals

About the position

The Certified Case Manager (CCM) plays a crucial role in the interdisciplinary team, managing and directing resource utilization to ensure high-quality outcomes during a patient's rehabilitation. The CCM coordinates patient care from admission through post-discharge, advocating for the patient and facilitating communication among healthcare providers. This position involves overseeing the discharge plan, addressing psychosocial issues, and ensuring compliance with regulations regarding patient rights.

Responsibilities

• Coordinate and advocate for patients during hospitalization and post-discharge.
• Manage information to oversee healthcare delivery and facilitate interdisciplinary care decisions.
• Establish and monitor the implementation of discharge plans.
• Identify and address patients' psychosocial and support system issues.
• Oversee effective coordination of services related to admission and discharge processes.
• Facilitate team conferences and communication regarding the interdisciplinary plan of care.
• Educate patients and families about care processes and resources.
• Manage payor relations and fiscal management of patient care.
• Perform ongoing utilization reviews and act as a liaison to payors.
• Ensure compliance with regulations regarding patient rights.

Requirements

• Must be qualified to independently complete assessments within the scope of practice (e.g., RN, SW, OT, PT, ST, Rehabilitation Counseling).
• Active licensure required if applicable to discipline.
• Current CCM® or ACM certification is required.
• For Nursing, a minimum of an Associate Degree in Nursing is required; BSN preferred.
• For other healthcare professionals, a minimum of a baccalaureate degree is required; graduate degree preferred.
• 2 years of rehabilitation experience preferred.

Nice-to-haves

• Experience in a hospital or rehabilitation setting.
• Familiarity with healthcare regulations and compliance standards.

Benefits

• Health insurance coverage.
• Paid time off and holidays.
• Opportunities for professional development and continuing education.