Job Description

JOB TITLE: Case Manager Associate, Therapy Services

SUPERSEDES: *NEW*

FLSA: Non-Exempt

JOB CODE: 5871

ISSUED: 01/2026

REVISED: *NEW*

BASIC FUNCTION AND RESPONSIBILITY

The Case Manager Associate, Therapy Services, will ensure appropriate utilization of therapy services and facilitate the continuum of care, including discharge to the appropriate setting. Perform admission, including concurrent and retrospective review of patient clinical records using pre-established objective quality of care criteria. Ensure reimbursement for therapy services provided to patients, collaborating with referring physicians and practitioners to assist in obtaining documentation clarification and to instruct members of the healthcare team on reimbursement guidelines.

ESSENTIAL FUNCTIONS

Interview patients and families for social information relevant to treatment, healthcare planning, and compile comprehensive social evaluations.

Provide counseling and emotional support to patients and families, assess biopsychosocial issues when appropriate, and maintain compliance with mandatory reporting for patient safety issues.

Counsel, plan, and implement transition care with patients and families.

Maintain current knowledge of and refer patients and families to community, state, and federal agencies and resources, providing coordination of services. Participate in developing community relationships.

Assess needs and locate community resources for patients and families in need of services such as transportation, lodging, and food.

Serve as liaison between other providers, the payer, and the physician, providing ongoing education regarding clinical documentation requirements and utilization issues.

Collaborate with other providers (physicians, home care agencies, etc.) to discuss patient/caregiver needs and services. Plan and organize multidisciplinary care conferences.

Arrange/authorize the delivery of appropriate services as agreed to by the patient/caregiver. Facilitate and coordinate patient progression along continuum of care using a case management approach, including coordination and development of individualized plan of care protocols, pathways, and guidelines.

Interact with the multidisciplinary team to ensure accurate and high-quality documentation practices, policies, and regulations.

Monitor the delivery of services for timeliness and appropriateness, adherence to plan, quality, and cost, escalating issues to clinic leadership.

Maintain knowledge and expertise in electronic software tools, payor criteria/policies related to utilization of resources, and clinical expertise in the assigned area of clinical care.

May complete unit/department-specific duties as outlined in department documents.

KNOWLEDGE, SKILLS AND ABILITIES

Excellent written and verbal communication skills.

Ability to gather data, compile information, and prepare reports/documentation.

Knowledge and understanding of medical terminology, patient diagnoses, treatment protocols, and disease process.

SUPERVISION RECEIVED

Supervision and clinical oversight is received from the Clinical Supervisor or Manager, Therapy Services.

SUPERVISION EXERCISED

None

REQUIRED QUALIFICATIONS

One of the following pairs: --Bachelor's degree in social work. AND Eight (8) years of experience in medical social work or other related experience. OR Physical Therapist Assistant (PTA) licensure by the Missouri Board of Registration for the Healing Arts or PTA Compact multi-state privilege. When primary state of residency changes, compact state PTAs must apply under new state of residency within thirty (30) days. AND Three (3) years of clinical experience. OR --Occupational Therapy Assistant (OTA) licensure by the Missouri Board of Occupational Therapy or OTA Compact multi-state privilege. When primary state of residency changes, compact state OTAs must apply under new state of residency within thirty (30) days. AND Three (3) years of clinical experience.

PREFERRED QUALIFICATIONS

Certified Case Manager (CCM) by the Commission for Case Manager Certification (CCMC) or other case management certification or related specialty certification.

Two (2) years of care coordination experience in an ambulatory or acute care setting is strongly preferred.

Experience in conflict resolution strongly preferred.

Experience with grant writing or fundraising.

Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. This position is very active and requires ambulating, reaching, and moving objects weighing up to and over 20 lbs.

This role also routinely comes into contact with patients who may have contagious illnesses. This position is in a health care facility open 24 hours a day, 365 days a year. Rotating shifts as well as holiday and work during inclement weather will be required.

PERFORMANCE EXPECTATIONS

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job; however, completion of these duties is a measure of successful performance. Employees of this job classification are subject to performance reviews. Basic function, responsibilities and characteristics duties may change at any time with or without notice.

SAFETY SENSITIVE STATUS

This position is considered safety sensitive.

This document is a general description of typical job duties, responsibilities and qualifications of employees holding the associated job title. Additional duties, specific qualifications and work emphasis may vary between individual positions.