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Case Manager

Mass General Brigham

Brighton, MAOnsitePosted 33 days ago$69,410.02 - $84,656.00/year
Full TimeMid LevelHealthcare & NursingHealthcare Provider
Original posting ↗

Summary

This is a full-time, day shift position working M-F. Responsible for completing intake interviews; determining need for medical and psycho-social evaluations; reviewing therapist and physician evaluations, care objectives, and plans; coordinating services being provided; advocating for needed services and entitlements. Does this position require Patient Care? Yes

Job description

Job Summary

This is a full-time, day shift position working M-F. Responsible for completing intake interviews; determining need for medical and psycho-social evaluations; reviewing therapist and physician evaluations, care objectives, and plans; coordinating services being provided; advocating for needed services and entitlements. Does this position require Patient Care? Yes

Essential Functions

  • Discusses assessment findings and patient status with physician and/or treatment team to maximize outcomes.
  • Assist in discharge planning as required.
  • Communicating effectively and efficiently internally and externally.
  • Coordinates discharge and after care services with guidance from the clinical team.
  • Assists others and supports the team.
  • Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
  • Initiate a complete assessment, to gather and/or verify relevant baseline data, identify their understanding and expectations of their stay, and identify any potential issues/barriers to arranging post inpatient care.
  • Proactively work with patient, caregiver, and the interdisciplinary team, including community providers of medical services, as appropriate, to develop a realistic and timely plan for post inpatient care.
  • Identify and coordinate appropriate resources post discharge for patients requiring homecare, outpatient, or placement in an alternate level of care.
  • Perform ongoing evaluation for appropriateness for the facility’s level of care by applying knowledge of level of care criteria with active collaboration with patients insurance payer.
  • Comply with all applicable State and Federal regulations as well as other credentialing bodies, including but not limited to, Joint Commission and CARF, regarding the case management process.

Qualifications

Education: Bachelor's Degree Related Field of Study required. Can this role accept experience in lieu of a degree? No. Licenses and Credentials: RN, PT, OT, SLP, RT or LCSW/LICSW required. Experience: Case management, utilization review, or discharge planning experience 2-3 years preferred.

Knowledge, Skills and Abilities

  • Strong customer and interpersonal skills.
  • Knowledge of community service resources.
  • Proficient User in Microsoft Office Applications.
  • Strong commitment to clinical excellence.
  • Strong problem solving skills and team oriented behavior.
  • Strong patient/customer service skills.
  • Ability to verbally calm patients.

Requirements

  • Bachelor's Degree in Related Field of Study required
  • Experience in lieu of a degree not accepted
  • Valid Massachusetts license as RN, PT, OT, SLP, RT or LCSW/LICSW required
  • Case management, utilization review, or discharge planning experience 2-3 years preferred
  • Strong customer and interpersonal skills
  • Knowledge of community service resources
  • Proficient in Microsoft Office Applications
  • Strong commitment to clinical excellence
  • Strong problem solving skills and team oriented behavior
  • Strong patient/customer service skills
  • Ability to verbally calm patients

Benefits

  • Sign-on bonus up to $10,000
  • Health insurance
  • Career advancement opportunities
  • Recognition programs

Company overview

Mass General Brigham is one of the largest integrated healthcare delivery systems in the United States, formed through the merger of Massachusetts General Hospital and Brigham and Women's Hospital. Based in Boston, Massachusetts, this academic medical center system operates multiple hospitals, specialty facilities, and community health centers throughout New England. The organization is renowned for its world-class patient care, cutting-edge medical research, and comprehensive medical education programs. As a teaching affiliate of Harvard Medical School, Mass General Brigham trains the next generation of healthcare professionals while advancing medical science through groundbreaking research initiatives. The system provides a full continuum of healthcare services, from primary care and preventive medicine to complex specialty treatments and emergency services. With a focus on innovation and patient-centered care, Mass General Brigham consistently ranks among the top hospital systems in the nation for clinical excellence and research output.

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