Qureos Mentor

Encompass Health

<div>Join us on the heart-warming journey with a team that is a top leader in the rehabilitation industry
Encompass Health is the leader in the inpatient rehabilitation industry, you'll feel the Encompass Health difference as soon as you join. We collaborate and provide high-quality, compassionate, individualized care for our patients, allowing us time to get to know them and help them achieve their goals during their rehabilitation journey.
POSITION PURPOSE
The Reimbursement Manager is responsible for cost reporting, hospital support, and audit support for hospitals in assigned regions and functional areas such as top downs, bad debts, Home Office, DTDF, LIP, CRIP/Propapers, and review tool.
RESPONSIBILITIES AND TASKS
<ul><li>Files Medicare and Medicaid cost reports; oversees assigned cost report, including add-on payments.
</li><li>Participates in audit/reviews conducted by governmental agencies, contractors, and audit firm(s).
</li><li>Ensures audit impacts are calculated and accounted for, while contesting disputed adjustments.
</li><li>Supports personnel in identifying and resolving reimbursement issues.
</li><li>Conducts complex research independently with high accuracy and efficiency.
</li><li>Monitors compliance with Medicare and policies related to reimbursement; resolves concerns.
</li><li>Leads projects to obtain results while managing productivity/development of staff.
</li><li>Oversees projects which may include LIP, DTDF, Home Office, Review Tool, and hospital onboarding.
</li><li>Stays current on cost reports, LIP/bad debt, state reimbursement, and provider enrollment.
</li><li>Understands cost report drivers and operational impacts; communicates technical information upward.
</li><li>Reviews work; constructively review strengths and opportunities to develop direct reports.
</li><li>Possesses detailed working knowledge of all software applications and reports.
</li><li>Uses technology applications to accomplish department goals.
</li><li>Researches, analyzes, and reconciles data and complete complex hospital cost reports and assigned projects.</li><li>
Completes day-to-day responsibilities; identifies and resolves issues; follows chain of command.</li><li>
Possesses industry, organizational, and position knowledge and skills.
</li><li>Stays current in job knowledge through departmental regulation summaries, CMS/state/hospital association websites, MediRegs, and other industry related materials.
</li><li>Uses company resources where appropriate; shares information and resources with peers.
</li><li>This position must sit at our Home Office in Birmingham, AL
</li></ul>Minimum Qualifications<ul><li>
Bachelor's degree in Accounting (preferred) or Finance
</li><li>7 years of hospital reimbursement experience
</li><li>At least two years of supervisor experience or project management experience
</li></ul>A little about us
We're confident you'll see the difference the moment you join our team. Working at Encompass Health means working with a growing national inpatient rehabilitation leader. We're proud of our career growth opportunities and how our team members work together for the greater good of our patients. We've been named one of the &quot;World's Most Admired Companies&quot; and a Fortune 100 Best Companies to Work For&reg; Award, among others, which is pretty amazing.
Our benefits start day one<ul><li>
Affordable medical, dental and vision plans for full-time and part-time employees and their families.</li><li>
Generous paid time off that accrues over time.</li><li>
Tuition reimbursement and continuing education opportunities.</li><li>
Company-matching 401(k) and employee stock purchase plans.</li><li>
Flexible spending and health savings accounts.</li><li>
A community of people who love what they do. Yes, we see that as a benefit.</li></ul>
<div>The Encompass Health Way
</div><div>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 nationwide locations and a team of 36,000 exceptional individuals and growing!
</div><div>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.</div></div>

Reimbursement Manager

<div>Chief Nursing Officer Career Opportunity 
Honored and esteemed for your Chief Nursing Officer expertise 
Are you seeking a transformative nursing leadership opportunity that feels close to home and heart? Encompass Health invites you to step into the role of Chief Nursing Officer at one of our 150+ in-patient rehabilitation hospitals, where we redefine the meaning of a fulfilling career. In our dynamic healthcare environment, experience the warmth of a welcoming community from the start. This role allows you to contribute to patients' well-being by providing compassionate care and support while playing a pivotal role in achieving inspiring healthcare outcomes. As a Chief Nursing Officer, you'll understand that even small victories can yield substantial impacts, taking responsibility for the quality of nursing care provided by the staff. Join us on a journey where your leadership transforms lives, offering a career that combines professional excellence with a deep connection to your roots. 
A Glimpse into Our World 
At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health 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 &quot;World's Most Admired Companies&quot; and receiving the Fortune 100 Best Companies to Work For&reg; 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:<ul><li>
Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.</li><li>
Generous paid time off that accrues over time.</li><li>
Opportunities for tuition reimbursement and continuing education.</li><li>
Company-matching 401(k) and employee stock purchase plans.</li><li>
Flexible spending and health savings accounts.</li><li>
A vibrant community of individuals passionate about the work they do!</li><li>
Join a vibrant community of individuals who are passionate about what they do. Yes, we consider this a valuable benefit.</li></ul>
Be the Chief Nursing Officer you've always aspired to be<ul><li>
Collaborate with all medical, clinical, and therapeutic disciplines to foster a patient-focused, team-oriented culture that delivers superior service and outstanding outcomes.</li><li>
Develop patient care programs, policies, and procedures that outline how patients' needs for nursing care, treatment, and services are assessed, evaluated, and met.</li><li>
Act as a representative for nursing on various committees, including the Governing Body, Quality Council, Med Exec, Infection Control, Education, and Ethics Committees, as needed.</li><li>
Support cultural diversity and maintain an inclusive, respectful work environment.</li><li>
Cultivate an environment and culture that empowers the hospital to fulfill its mission by exceeding its goals, communicating the hospital's mission to all staff, holding staff accountable, motivating the team, and taking charge of measurement and assessment.</li><li>
Implement Joint Commission, CMS, State, rehabilitation nursing, and hospital standards.</li><li>
Utilize a staffing matrix that factors in patient acuity and adjusts staffing to meet budgeted NHPPD. Integrate complex data to make informed decisions, develop programs and plans that optimize health, promote wellness, manage illness, and prevent patient complications.</li><li>
Celebrate the achievements of your staff and patients along the way.</li></ul>
Qualifications<ul><li>
Possess a current RN licensure as required by state regulations.</li><li>
Hold BLS certification (ACLS preferred).</li><li>
Commit to obtaining CRRN certification within a year of meeting the eligibility requirements.</li><li>
Possess a Bachelor's Degree in Nursing or a related field, unless a higher degree is mandated by state regulations.</li><li>
Advanced Degree, plan to receive an advanced degree, or knowledge and skills associated with an advanced degree required unless otherwise specified by state regulation.</li><li>
Five years of experience in an inpatient hospital setting.</li><li>
Two years of recent (within the last 5 years) Nursing Management experience, with responsibilities including 24-hour accountability, FTE management, policy, procedure, and budgetary oversight, as well as conducting disciplinary action.</li><li>
May be required to work weekdays and/or weekends, evenings and/or night shifts.</li><li>
May be required to work on religious and/or legal holidays on scheduled days/shifts.</li></ul>
<div>The Encompass Health Way
</div><div>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 nationwide locations and a team of 36,000 exceptional individuals and growing!
</div><div>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.</div></div>

Chief Nursing Officer

<div>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 &quot;World's Most Admired Companies&quot; and receiving the Fortune 100 Best Companies to Work For&reg; 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:<ul>
<li>Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.</li>
<li>Generous paid time off that accrues over time.</li>
<li>Opportunities for tuition reimbursement and continuous education.</li>
<li>Company-matching 401(k) and employee stock purchase plans.</li>
<li>Flexible spending and health savings accounts.</li>
<li>A vibrant community of individuals passionate about the work they do!</li>
</ul>Become the Case Manager you always wanted to be<ul>
<li>Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.</li>
<li>Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.</li>
<li>Participate in planning for and the execution of patient discharge experience.</li>
<li>Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.</li>
<li>Facilitate team conferences weekly and coordinate all treatment plan modifications.</li>
<li>Complete case management addendums and all required documentation.</li>
<li>Maintain knowledge of regulations/standards, company policies/procedures, and department operations.</li>
<li>Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.</li>
<li>Understand commercial contract levels, exclusions, payor requirements, and recertification needs.</li>
<li>Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.</li>
<li>Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs of admission.</li>
<li>Perform assessment of goals and complete case management addendum within 48 hours of admission.</li>
<li>Educate patient/family on rehabilitation and Case Manager role; establish communication plan.</li>
<li>Schedule and facilitate family conferences as needed.</li>
<li>Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.</li>
<li>Monitor compliance with regulations for orthotics and prosthetics ordering and payment.</li>
<li>Make appropriate/timely referrals, including documentation to post discharge providers/physicians.</li>
<li>Ensure accuracy of discharge and payor-related information in the patient record.</li>
<li>Participate in utilization review process: data collection, trend review, and resolution actions.</li>
<li>Participate in case management on-call schedule as needed.</li>
</ul>Qualifications<ul>
<li>License or Certification:
<ul><li>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).</li>
<li>If licensure is required for one's discipline within the state, individual must hold an active license.</li>
<li>Must meet eligibility requirements for CCM&reg; or ACM&trade; certification upon entry into this position OR within two years of entry into the position.</li>
<li>CCM&reg; or ACM&trade; certification required OR must be obtained within two years of being placed in the Case Manager II position.</li>
</ul></li><li>Minimum Qualifications:
<ul><li>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.</li>
<li>For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.</li>
<li>2 years of rehabilitation experience preferred.</li>
</ul></li></ul><div>The Encompass Health Way
</div><div>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 nationwide locations and a team of 36,000 exceptional individuals and growing!
</div><div>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.</div></div>

Case Manager II

Case Manager

<div>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 &quot;World's Most Admired Companies&quot; and receiving the Fortune 100 Best Companies to Work For&reg; 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:<ul>
<li>Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.</li>
<li>Generous paid time off that accrues over time.</li>
<li>Opportunities for tuition reimbursement and continuous education.</li>
<li>Company-matching 401(k) and employee stock purchase plans.</li>
<li>Flexible spending and health savings accounts.</li>
<li>A vibrant community of individuals passionate about the work they do!</li>
</ul>Become the Case Manager you always wanted to be<ul>
<li>Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.</li>
<li>Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.</li>
<li>Participate in planning for and the execution of patient discharge experience.</li>
<li>Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.</li>
<li>Facilitate team conferences weekly and coordinate all treatment plan modifications.</li>
<li>Complete case management addendums and all required documentation.</li>
<li>Maintain knowledge of regulations/standards, company policies/procedures, and department operations.</li>
<li>Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.</li>
<li>Understand commercial contract levels, exclusions, payor requirements, and recertification needs.</li>
<li>Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.</li>
<li>Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs of admission.</li>
<li>Perform assessment of goals and complete case management addendum within 48 hours of admission.</li>
<li>Educate patient/family on rehabilitation and Case Manager role; establish communication plan.</li>
<li>Schedule and facilitate family conferences as needed.</li>
<li>Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.</li>
<li>Monitor compliance with regulations for orthotics and prosthetics ordering and payment.</li>
<li>Make appropriate/timely referrals, including documentation to post discharge providers/physicians.</li>
<li>Ensure accuracy of discharge and payor-related information in the patient record.</li>
<li>Participate in utilization review process: data collection, trend review, and resolution actions.</li>
<li>Participate in case management on-call schedule as needed.</li>
</ul>Qualifications<ul>
<li>License or Certification:
<ul><li>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).</li>
<li>If licensure is required for one's discipline within the state, individual must hold an active license.</li>
<li>Must meet eligibility requirements for CCM&reg; or ACM&trade; certification upon entry into this position OR within two years of entry into the position.</li>
<li>CCM&reg; or ACM&trade; certification required OR must be obtained within two years of being placed in the Case Manager II position.</li>
</ul></li><li>Minimum Qualifications:
<ul><li>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.</li>
<li>For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.</li>
<li>2 years of rehabilitation experience preferred.</li>
</ul></li></ul><div>The Encompass Health Way
</div><div>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 nationwide locations and a team of 36,000 exceptional individuals and growing!
</div><div>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.</div></div>

Join Encompass Health and explore 5   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Encompass Health

About Company

Reimbursement Manager

Chief Nursing Officer

Case Manager II

Case Manager

Case Manager