Case Manager

Mass General Brigham•Boston, MA

9d•$58,656 - $142,449•Onsite

About The Position

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. We're offering a generous sign-on bonus of up to $10,000 to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview process. Job Summary Facilitate the coordination of care, from admission through discharge, with focus on realistic treatment outcomes within the scope of available resources. Oversee the assessment, planning, facilitation, coordination, evaluation and advocacy for options and services to meet a patient and family’s comprehensive health needs and to promote quality cost effective outcomes. Collaborate with the interdisciplinary team, patient and family, as well as various departments within and outside the hospital to assure timely and appropriate discharge planning and cost-effective outcomes.

Requirements

Bachelor’s Degree in related field.
3-5 years of related experience.
Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing or outpatient setting is required.
Current, unrestricted license to practice in Massachusetts in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice of the discipline. Examples are Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, Respiratory, LCSW/LICSW, LMHC, or Rehabilitation Counselor including CRC with plan for LRC within six months of hire.
Knowledge of community services and the healthcare systems required.
Knowledge of criteria and levels of care Computer proficiency required. Microsoft office applications preferred with ability to learn new software.
Highly developed communications and interpersonal skills, working with diverse population.
Work independently, be self-directed and contribute as a member of a team.
Anticipates challenges and develops and implements strategies for addressing them.
High level of service delivery.
Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.
Attention to detail.

Nice To Haves

Master’s Degree in related field.
Health plan experience in utilization review and case management will be considered.
Certification in Case Management preferred.

Responsibilities

Assessment of the patient’s health and psychosocial needs is conducted per established guidelines.
Case management plan is developed collaboratively with the interdisciplinary team, patient and family to maximize health care responses, quality and cost-effective outcomes, incorporating patient and family goals, expectations, and preferences into the development of the interdisciplinary plan of care
Communication and coordination are actively promoted between members of the interdisciplinary team, the payer and the community to minimize fragmentation of services and to maximize outcomes.
Patient centered team meetings are planned and conducted to coordinate healthcare team members and third-party payers to achieve treatment outcomes and discharge planning goals
Education is provided to the interdisciplinary team, the patient and the family about treatment options, community resources, insurance benefits and psychosocial concerns to ensure timely and informed decisions.
Patient and family are empowered to problem solve to achieve desired outcomes and promote patient self-determination.
Appropriate use of health care services and allocation of resources is encouraged to improve quality of care and maintain a balance with cost effective care on a case by case basis.
Appropriate resources are identified to provide discharge services and promote a safe transition to the next most appropriate level of care.
Discharge plan is developed in collaboration with healthcare team and family and meets patient needs and financial requirements.
Culturally competent care is displayed to identify the patient’s cultural needs and incorporate them in the development of the discharge plan.
Patient education and support is provided to ensure a smooth transition from acute setting, through the SRN stay and transition to discharge using established standards.
Documentation is completed in adherence to department standards.
Third party coverage guidelines are adhered to for each patient situation.
Additional department, organization, or network activities are completed per established objectives.
Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.