Manager Case Management
Somerville, NJ - USA
Job Summary
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
Responsible for the execution of the clinical aspects of the Case Management process. Provides outreach and enrollment services to meet the eligibility requirements of the program and the surrounding counties. Ensures coordination and planning with the help of community and family support. Focuses on the development and coordination of community service plans. Partners with service providers families and patients to create a plan of healthcare and identify additional service providers. Responsible for overseeing and supervising staff and serving as a role model for staff. Fully responsible for individual and team assignment of patients in a timely manner. Participates with leadership in the development of the case management standards evaluation of outcomes and development of improvement initiatives.Primary Responsibilities:
-Provide day-to-day supervision to Case Managers and interns/students as appropriate.
-Ensure staff complete psychosocial assessments covering psychological social and environmental concerns including evaluation of mental status.
-Review daily referrals and screenings of patients
-Audit case file on a regular basis for completeness and accuracy.
-Assist in discharge planning as required.
-Serves and protects the care management program by adhering to professional standards care management policies and procedures federal state and local requirements and NCQA compliance.
Qualifications
Qualifications:
- Associates Degree Nursing required or Masters Degree Social Work required. Bachelors Degree Nursing preferred.
- Licensed Independent Clinical Social Worker (LICSW) State License in MA and NH required or Registered Nurse (RN) State License in MA and NH required
- 3 years supervisory or management experience with professional staff in a healthcare setting required
- 3 years of experience in case management utilization review or discharge planning required
Additional Knowledge Skills and Abilities:
- Giving full attention to what other people are saying taking time to understand the points being made asking questions as appropriate and not interrupting at inappropriate times.
- Strong analytical ability critical thinking and processing skills.
- Strong customer and interpersonal skills.
- Strong teamwork skills.
- Excellent organizational and communication skills.
- Ability to deal with rapid changing health care environment and Requires excellent interdisciplinary team collaboration skills.
Additional Job Details (if applicable)
Schedule and Work Model:
Full-time Monday through Friday standard business hours.
Hybrid work Model: Approximately 2-3 days per week on-site at Wentworth Health Partners practice sites in New Hampshire and southern Maine and approximately 2-3 days remote from home.
On remote workdays employees must use a stable secure and compliant workstation in a quiet environment. Teams Video is required and must be accessed using MGB-provided equipment.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$58656.00 - $142448.80/AnnualGrade
98TEMPEEO Statement:
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.
Required Experience:
Manager
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.