Care Manager

4 weeks ago

Johnston, Rhode Island, United States HealthSouth Full time

Hiring for PRN positions as a Care Manager at Encompass Health offers a unique opportunity to leverage your clinical expertise while contributing to the well-being of individuals in your community.

As the leading provider of rehabilitation care in the nation, this role allows you to manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions.

Key responsibilities include monitoring patient experience, maintaining knowledge of regulations and company policies, and reviewing case management reports to plan appropriate actions.

Additionally, you will assist patients with timely procuring and planning of resources to avoid discharge delays or issues, and participate in utilization review process: data collection, trend review, and resolution actions.

At Encompass Health, you'll experience the difference the moment you become a part of our team.

We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients.

Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.

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.

Key Responsibilities:

  • Monitor patient experience: quality, timeliness, service appropriateness, payors, and expectations.
  • Maintain knowledge of regulations, company policies, 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.
  • Assist patients with timely procuring and planning of resources to avoid discharge delays or issues.
  • Participate in utilization review process: data collection, trend review, and resolution actions.

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