Case Manager

Job overview

The Case Manager role is an onsite position located in West Kennebunk, ME. Compensation is not specified for this role, which supports the rehabilitation services department at New England Rehabilitation Hospital of Portland. This role serves as a vital link between patients and their care teams, managing resources and coordinating treatment plans from admission through post-discharge. The Case Manager ensures that patient care is appropriate, timely, and aligned with interdisciplinary goals to achieve meaningful recovery outcomes.

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

Skills & competencies

full-time

day shift

west kennebunk me

case manager

encompass health

rehabilitation

healthcare

patient care

no on-call

weekend required

Work arrangement

• Weekend coverage required

Benefits & perks

• Affordable medical, dental, and vision plans, generous paid time off, tuition reimbursement, company-matching 401(k), employee stock purchase plans, flexible spending and health savings accounts.

Why this role

Fortune 100 Best Companies to Work For award recipient.

About the employer

New England Rehabilitation Hospital of Portland, a Joint Venture of Maine Medical Center and Encompass Health is hiring for this role. Industry: Specialty (except Psychiatric and Substance Abuse) Hospitals. Sector: 62.