Encompass Health Rehabilitation Hospital of Fort Myers

Compensation

Full Description

Case Management Specialist Career Opportunity Recognized for your abilities as a Case Management Specialist Are you looking for a fulfilling Case Management role that brings your career closer to your values? Join Encompass Health, where your role as a Case Management Specialist goes beyond a typical job; it positions you as a vital link between outstanding care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to utilize your clinical expertise while improving the well-being of individuals in your community. You will manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is not just a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. A Glimpse into Our World At Encompass Health, you'll experience the difference from the moment you join our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we provide and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades. Starting Perks and Benefits At Encompass Health, we are dedicated to creating a supportive and inclusive environment where you can thrive. From day one, you will have access to: • Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. • Generous paid time off that accrues over time. • Opportunities for tuition reimbursement and continuous education. • Company-matching 401(k) and employee stock purchase plans. • Flexible spending and health savings accounts. • A vibrant community of individuals passionate about the work they do! Become the Case Management Specialist you always wanted to be • Work with an interdisciplinary team, guiding treatment plans based on patient needs and preferences. • Coordinate with the interdisciplinary team to establish tentative discharge plans and contingency plans. • Participate in planning and executing the patient discharge experience. • Monitor patient experience regarding quality, timeliness, service appropriateness, payors, and expectations. • Facilitate weekly team conferences 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 and 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 patients and families within 24 hours of admission per Patient Arrival and Initial Visit Standard. • Perform assessment of goals and complete case management addendum within 48 hours of admission. • Educate patients and families on rehabilitation and the Case Manager role; establish a communication plan. • Schedule and facilitate family conferences as needed. • Assist patients with timely access to resources to avoid discharge delays or issues. • Monitor compliance with regulations for orthotics and prosthetics ordering and payment. • Make appropriate and timely referrals, including documentation to post-discharge providers and physicians. • Ensure accuracy of discharge and payor-related information in the patient record. • Participate in the utilization review process: data collection, trend review, and resolution actions. • Participate in the case management on-call schedule as needed. Qualifications License or Certification: • Must be qualified to independently complete an assessment within the scope of practice of their discipline (e.g., RN, SW, OT, PT, ST, Rehabilitation Counseling). • If licensure is required for one's discipline within the state, the individual must hold an active license. • Must meet eligibility requirements for CCM® or ACM certification upon entry into this position or within two years of entry into the position. • CCM® or ACM certification required or must be obtained within two years of being placed in the Case Management Specialist II position. Minimum Qualifications: • For Nursing: must possess a minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree. • For all other eligible licensed or certified health care professionals: must possess a minimum of a bachelor's degree, and a graduate degree is preferred. • 2 years of rehabilitation experience preferred. The Encompass Health Way We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 locations nationwide and a team of 36,000 exceptional individuals and growing! At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification. We eagerly look forward to meeting you. Join us on this remarkable journey!