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 customer service, supervising staff, and serving as a role model for staff, the daily assignment of staff, patient flow, and shift-to-shift decision making regarding staffing. Participates with leadership in the development of the case management standards, evaluation of outcomes, and development of improvement initiatives.

Job description

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 customer service, supervising staff, and serving as a role model for staff, the daily assignment of staff, patient flow, and shift-to-shift decision making regarding staffing. 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.
Complete psychosocial assessments covering psychological, social and environmental concerns, including evaluation of mental status.
Review daily referrals and screenings of clients.
Audit case file on a regular basis for completeness and accuracy.
Assist in discharge planning as required.
Serves and protects the hospital community by adhering to professional standards, hospital care policies and procedures, federal, state, and local requirements, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards.

Requirements

Bachelor's Degree Nursing required or Master's Degree Social Work required
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
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

Benefits

Comprehensive benefits
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.