Director of Case Management

Brigham and Women's Hospital•Boston, MA

41d•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. This position is based at our Charlestown location and oversees all four of the facilities within the Spaulding Rehabilitation organization. Some local travel to these facilities is required. Job Summary This position is based at our Charlestown location and oversees all four of the facilities within the Spaulding Rehabilitation organization. Some local travel to these facilities is required. Summary: Responsible for overseeing and managing case management services to ensure the efficient coordination of patient care across departments. Develops strategies to enhance care delivery, optimize patient outcomes, and ensure compliance with regulatory and hospital standards. Collaborates with clinical teams to facilitate patient transitions and improve resource utilization.

Requirements

Bachelor's Degree Nursing required
Experience in case management or care coordination 5-7 years required
Experience in a management or leadership role 3-5 years required
Strong leadership and team management abilities, with a focus on staff development and performance management.
Proficient in case management principles and discharge planning, with knowledge of care coordination strategies.
Excellent communication and collaboration skills, with the ability to work across multiple departments and disciplines.
Analytical skills to monitor data, evaluate outcomes, and identify opportunities for improvement.
In-depth knowledge of healthcare regulations, patient rights, and compliance standards.

Nice To Haves

Master's Degree preferred
Registered Nurse [RN - State License] - Generic - HR Only preferred

Responsibilities

Lead and manage the case management department, ensuring all patient care coordination is effective and patient-centered.
Develop and implement policies and procedures for case management, ensuring alignment with hospital standards and regulatory requirements.
Collaborate with physicians, nursing, and ancillary teams to facilitate patient care transitions, discharge planning, and follow-up care.
Oversee the development and use of care plans, ensuring they are individualized, updated, and meet the needs of patients.
Monitor and evaluate patient outcomes and resource utilization to ensure quality care and cost-efficiency.
Manage staff recruitment, training, and performance evaluation to maintain a high-performing case management team.
Ensure compliance with all federal, state, and local regulations related to case management and discharge planning.
Analyze case management data and trends to develop improvement strategies for patient care and operational efficiency.
Develops and maintains contemporary case management practice in congruence with strategic goals of SRN and MGB CCM.
Develops and maintains a contemporary knowledge of utilization review, payer platforms, hospital reimbursement and value-based programs.