Case Management Supervisor
About The Position
Baystate Health is seeking a Supervisor, Case Management to lead and oversee case management and utilization review activities. The role supports effective patient care coordination, appropriate resource utilization, and timely transitions across the healthcare continuum. In collaboration with clinical teams, physicians, and hospital leadership, the supervisor promotes quality patient outcomes, efficient hospital operations, regulatory compliance, and a positive team environment. The position is full-time at 40 hours per week. The stated annual base salary range is $118,934 to $161,720, with a midpoint of $136,718. The actual starting salary depends on relevant experience and other stated compensation factors. Baystate Health describes its compensation as including pay, benefits, and employee recognition programs, but does not specify particular benefits in this posting.
Requirements
- Associate Degree in Nursing (ADN).
- Current Massachusetts Registered Nurse (RN) license.
- Minimum of three years of case management experience.
- Case Management Certification is listed under certifications.
Nice To Haves
- Bachelor of Science in Nursing (BSN).
Responsibilities
- Oversee daily case management and utilization review workflows, assignments, and staffing to support departmental goals and performance expectations.
- Lead team orientation, training, scheduling, performance management, and professional development while fostering a collaborative, accountable, and supportive work environment.
- Guide case managers on evidence-based practices, clinical guidelines, and appropriate case management interventions.
- Participate in case management and utilization review committees, communicate emerging issues, and collaborate regularly with the Physician Advisor.
- Partner with Denials and Appeals Specialists to support communication, collaboration, and resolution of utilization management concerns.
- Assess admission appropriateness, level of care, and continued stay using established screening criteria, clinical expertise, and departmental guidelines.
- Communicate utilization review findings and level-of-care concerns to the healthcare team and coordinate Physician Advisor involvement when needed.
- Monitor patient progression, anticipated length of stay, and discharge needs to support timely and appropriate care transitions.
- Collaborate with physicians and interdisciplinary teams to address barriers to discharge, placement challenges, and variances from the plan of care.
- Educate physicians and healthcare team members about length of stay, medical necessity, and potential denials.
- Ensure compliance with departmental policies, hospital requirements, mandatory education, and applicable regulatory standards.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
