Director of Case Management
- 2410 Brigham and Women's Physicians Organization, Inc.
- Charlestown-MA
- 7mo ago
- Full-Time
- On-site
...
Site: The Spaulding Rehabilitation Hospital Corporation
Summary:
Responsible for overseeing and managing case management services to ensure the efficient coordination of patient care across departments.
Develops strategies to enhance care delivery, optimize patient outcomes, and ensure compliance with regulatory and hospital standards.
Collaborates with clinical teams to facilitate patient transitions and improve resource utilization.
Does this position require Patient Care?
Yes
Essential Functions:
Lead and manage the case management department, ensuring all patient care coordination is effective and patient-centered.
-Develop and implement policies and procedures for case management, ensuring alignment with hospital standards and regulatory requirements.
-Collaborate with physicians, nursing, and ancillary teams to facilitate patient care transitions, discharge planning, and follow-up care.
-Oversee the development and use of care plans, ensuring they are individualized, updated, and meet the needs of patients.
-Monitor and evaluate patient outcomes and resource utilization to ensure quality care and cost-efficiency.
-Manage staff recruitment, training, and performance evaluation to maintain a high-performing case management team.
-Ensure compliance with all federal, state, and local regulations related to case management and discharge planning.
-Analyze case management data and trends to develop improvement strategies for patient care and operational efficiency.
Develops and maintains contemporary case management practice in congruence with strategic goals of SRN and MGB CCM.
Develops and maintains a contemporary knowledge of utilization review, payer platforms, hospital reimbursement and value-based programs.Onsite300 First Avenue40RegularDay (United States of America)The Spaulding Rehabilitation Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
This position is based at our Charlestown location and oversees all four of the facilities within the Spaulding Rehabilitation organization. Some local travel to these facilities is required.Summary:
Responsible for overseeing and managing case management services to ensure the efficient coordination of patient care across departments.
Develops strategies to enhance care delivery, optimize patient outcomes, and ensure compliance with regulatory and hospital standards.
Collaborates with clinical teams to facilitate patient transitions and improve resource utilization.
Does this position require Patient Care?
Yes
Essential Functions:
Lead and manage the case management department, ensuring all patient care coordination is effective and patient-centered.
-Develop and implement policies and procedures for case management, ensuring alignment with hospital standards and regulatory requirements.
-Collaborate with physicians, nursing, and ancillary teams to facilitate patient care transitions, discharge planning, and follow-up care.
-Oversee the development and use of care plans, ensuring they are individualized, updated, and meet the needs of patients.
-Monitor and evaluate patient outcomes and resource utilization to ensure quality care and cost-efficiency.
-Manage staff recruitment, training, and performance evaluation to maintain a high-performing case management team.
-Ensure compliance with all federal, state, and local regulations related to case management and discharge planning.
-Analyze case management data and trends to develop improvement strategies for patient care and operational efficiency.
Develops and maintains contemporary case management practice in congruence with strategic goals of SRN and MGB CCM.
Develops and maintains a contemporary knowledge of utilization review, payer platforms, hospital reimbursement and value-based programs.
Qualifications
Education
Bachelor's Degree Nursing required
Master's Degree preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials Registered Nurse [RN - State License] - Generic - HR Only preferred
Experience
Experience in case management or care coordination 5-7 years required and Experience in a management or leadership role 3-5 years required
Knowledge, Skills and Abilities
- Strong leadership and team management abilities, with a focus on staff development and performance management.
- Proficient in case management principles and discharge planning, with knowledge of care coordination strategies.
- Excellent communication and collaboration skills, with the ability to work across multiple departments and disciplines.
- Analytical skills to monitor data, evaluate outcomes, and identify opportunities for improvement.
- In-depth knowledge of healthcare regulations, patient rights, and compliance standards.
Additional Job Details (if applicable)
Physical Requirements
- Standing Frequently (34-66%)
- Walking Frequently (34-66%)
- Sitting Occasionally (3-33%)
- Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
- Carrying Frequently (34-66%) 20lbs - 35lbs
- Pushing Occasionally (3-33%)
- Pulling Occasionally (3-33%)
- Climbing Rarely (Less than 2%)
- Balancing Frequently (34-66%)
- Stooping Occasionally (3-33%)
- Kneeling Occasionally (3-33%)
- Crouching Occasionally (3-33%)
- Crawling Rarely (Less than 2%)
- Reaching Frequently (34-66%)
- Gross Manipulation (Handling) Frequently (34-66%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$121,908.80 - $177,351.20/Annual
Grade
9
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.