Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
Weekend Case Manager
Pleasant Gap, PA · On-site
Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
Weekend Case Manager
Pleasant Gap, PA · On-site
Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
The weekend Case Manager's hours will be 10-hour shifts, 8 AM- 6 PM, every Thursday, Friday ... Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of ...
The weekend Case Manager's hours will be 10-hour shifts, 8 AM- 6 PM, every Thursday, Friday ... Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of ...
Case Manager (RN)
Baytown, TX · On-site
The weekend Case Manager's hours will be 10-hour shifts, 8 AM- 6 PM, every Thursday, Friday ... Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of ...
Case Manager (RN)
Baytown, TX · On-site
The weekend Case Manager's hours will be 10-hour shifts, 8 AM- 6 PM, every Thursday, Friday ... Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of ...
Case Manager (RN)
Baytown, TX · On-site
The weekend Case Manager's hours will be 10-hour shifts, 8 AM- 6 PM, every Thursday, Friday ... Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of ...
Case Manager (RN)
Baytown, TX · On-site
The weekend Case Manager's hours will be 10-hour shifts, 8 AM- 6 PM, every Thursday, Friday ... Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with our call compensation program.
Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with our call compensation program.
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with our call compensation program.
Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with our call compensation program.
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Excellent work environment "- Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with ...
Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with our call compensation program.
Embrace a flexible, non-traditional schedule with in-house call responsibilities, including nights, weekends, and holidays, and be recognized for your commitment with our call compensation program.
Case Manager RN
Hermiston, OR · On-site
$46.78/hr
Min $46.78 Max $79.58 Flex Schedule Everythother weekend Case Management Definition of Position ... Regularly reviewing and updating plans based on client progress * Connecting clients with ...
Case Manager RN
Hermiston, OR · On-site
$46.78/hr
Min $46.78 Max $79.58 Flex Schedule Everythother weekend Case Management Definition of Position ... Regularly reviewing and updating plans based on client progress * Connecting clients with ...
About the Role The Case Review Specialist ensures that case documentation is provided by the ... Fax intake and labeling on weekends/Holidays as needed About You * Bachelor's Degree or relevant ...
About the Role The Case Review Specialist ensures that case documentation is provided by the ... Fax intake and labeling on weekends/Holidays as needed About You * Bachelor's Degree or relevant ...
About the Role The Case Review Specialist ensures that case documentation is provided by the ... Fax intake and labeling on weekends/Holidays as needed About You * Bachelor's Degree or relevant ...
About the Role The Case Review Specialist ensures that case documentation is provided by the ... Fax intake and labeling on weekends/Holidays as needed About You * Bachelor's Degree or relevant ...
Weekend Case Reviewer information
See salary details
$19.23 - $24.76
3% of jobs
$24.76 - $30.29
6% of jobs
$35.30 is the 25th percentile. Wages below this are outliers.
$30.29 - $35.82
17% of jobs
$35.82 - $41.35
20% of jobs
The median wage is $42.45 / hr.
$41.35 - $46.88
16% of jobs
$46.88 - $52.40
11% of jobs
$53.59 is the 75th percentile. Wages above this are outliers.
$52.40 - $57.93
7% of jobs
$57.93 - $63.46
6% of jobs
$63.46 - $68.99
5% of jobs
$68.99 - $74.52
4% of jobs
$74.52 - $80.05
3% of jobs
$19
$47
$80
How much do weekend case reviewer jobs pay per hour?
What is the difference between Weekend Case Reviewer vs Medical Claims Processor?
| Aspect | Weekend Case Reviewer | Medical Claims Processor |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require healthcare or legal certifications | High school diploma or equivalent; familiarity with insurance policies often preferred |
| Work Environment | Remote or office-based, reviewing cases on weekends | Typically office or remote, processing insurance claims during weekdays or weekends |
| Employer & Industry Usage | Healthcare, insurance, legal sectors | Health insurance companies, third-party administrators |
| Comparison Search Intent | Understanding roles involving case review on weekends | Understanding claims processing tasks and responsibilities |
The Weekend Case Reviewer primarily focuses on reviewing cases during weekends, often requiring healthcare or legal knowledge. In contrast, a Medical Claims Processor handles insurance claims, usually during regular business hours. Both roles may be remote and are common in healthcare and insurance industries, but they differ in daily tasks and specific credentials needed.
Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 15 days ago
Encompass Health rating
6.9
Based on 416 frontline employees who took The Breakroom Quiz
449th of 886 rated healthcare providers
Job description
Case Manager Career Opportunity
Recognized for your abilities as a Case Manager
Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional 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 leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than 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 the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer 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, which is nothing short of amazing.
Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring 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 Manager you always wanted to be
- 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/physician
- 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.
Qualifications
- License or Certification:
- Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
- If licensure is required for one's discipline within the state, 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 Manager II position.
- Minimum Qualifications:
- For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only 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 graduate degree is preferred.
- 2 years of rehabilitation experience preferred.
We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
What Encompass Health employees say
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About Encompass Health
Sourced by ZipRecruiter
Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Birmingham, AL, US