Case Manager

Job overview

Case Manager This is an onsite position in Houston, TX. Compensation details are not specified in the posting. Encompass Health Rehabilitation Hospital of Houston at The Medical Center is a leading provider of rehabilitation care. This role involves managing resources, coordinating patient care from admission to post-discharge, and overseeing interdisciplinary plan-of-care decisions to impact each patient's journey.

What you'll do

• 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/physicians. 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.

What we're looking for

Education

Associate Degree in Nursing (RN) or Bachelor's Degree (other licensed/certified professionals)

Experience

2 years of rehabilitation experience preferred.

Skills & competencies

case manager

houston tx

rehabilitation

patient care

interdisciplinary team

discharge planning

prn

as needed

benefits

career growth

healthcare

licensed social worker

rn

ot

pt

st

Benefits & perks

• Affordable medical, dental, and vision plans, Generous paid time off, Tuition reimbursement, Continuous education, Company-matching 401(k), Employee stock purchase plans, Flexible spending and health savings accounts

Why this role

World's Most Admired Companies, Fortune 100 Best Companies to Work For®

About the employer

Encompass Health Rehabilitation Hospital of Houston at The Medical Center is hiring for this role. Industry: General Medical and Surgical Hospitals. Sector: 62.