MANAGER, CASE MANAGEMENT

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POST DATE 8/17/2016
END DATE 10/8/2016

Spaulding HospitalBoston & Cambridge(SRN,SRH,SHC) Charlestown, MA

Company
Spaulding HospitalBoston & Cambridge(SRN,SRH,SHC)
Job Classification
Full Time
Company Ref #
3023139
AJE Ref #
575906881
Location
Charlestown, MA
Experience
Mid-Career (2 - 15 years)
Job Type
Regular
Education
Masters Degree

JOB DESCRIPTION

APPLY
SUMMARY
Oversee the delivery of consistent, high quality and patient centered care, promote the professional growth and development of the Case Managers and Clinical Social Workers, and develop operational efficiencies. Ensure case management practices comply with department, hospital, and regulatory policies, procedures and professional standards of practice. Develop, implement, and maintain Case Management Department Standards of Practice and Policies and Procedures. Serve as a liaison and resource for the Program Directors, Nurse Managers, Therapy Directors, Physicians and other clinical and non-clinical services and departments within the organization in the areas of case management and social services. Participate in quality improvement and program development activities. Participate in development and assurance of general and program specific competencies as it relates to the patient population served.


KEY RESPONSIBILITIES

* Team members are hired, mentored, and continually developed to achieve stated goals for performance.

* Performance evaluations are completed accurately and timely in accordance with organization standards.

* Staff orientation is developed, conducted and evaluated to meet department standards.

* Business plan is aligned with PCC strategy and is updated at least annually to drive change to meet market and organizational goals in collaboration with Case Management Director.

* Direct clinical practices are managed to ensure compliance with all regulations and achievement of targeted quality, service and financial outcomes.

* Compliance audits are conducted to ensure adherence to department standards of practice, policies and procedures.

* Department quality improvement projects are actively engaged in to achieve established objectives.

* Work assignments are distributed equitably among team members and meet the needs of the department.

* Staffing schedule is developed and maintained to ensure coverage meets anticipated needs.

* Potential long length of stay patients are monitored to resolve barriers to discharge and support is provided to team members to achieve length of stay targets.

* Denials and appeals are reviewed within established timeframes.

* Established department goals are achieved through active participation in Utilization Review Committee.

* Case Management Department Standards of Practice, Policies and Procedures are developed and implemented in collaboration with Case Management Director.

* Committee leadership and engagement drives achievement of organizational and department goals.

* Additional department, organization, or network activities are completed per established objectives.

* PCC Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.



QUALIFICATIONS AND EXPERIENCE

EDUCATION/DEGREE
Required
Preferred

EXPERIENCE Required

* Minimum of five years supervisory or management experience with professional staff in a healthcare setting.

Preferred

* Five years of related rehabilitation experience and certification in case management preferred. Case management, utilization review, or discharge planning experience in an acute, rehabilitation, behavioral health, skilled nursing, or home care is necessary required. Health plan experience in utilization review and case management will also be considered.


LICENSURE
Required

* Current license to practice in Massachusetts in Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, Social Work, or Masters in Rehabilitation Counseling.

Preferred

SKILLS (Specific learned activity gained through training (e.g. computer skills, keyboarding, presentation, CPR, ACLS, etc.)
Required

* Knowledge of community services and the health care system is required. Knowledge of medical review criteria, and levels of care is required.

* Computer proficiency required. Microsoft office applications preferred with ability to learn new software.

Preferred

* 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.

*

*

QUALIFICATIONS AND EXPERIENCE

EDUCATION/DEGREE
Required
Preferred

EXPERIENCE Required

* Minimum of five years supervisory or management experience with professional staff in a healthcare setting.

Preferred

* Five years of related rehabilitation experience and certification in case management preferred. Case management, utilization review, or discharge planning experience in an acute, rehabilitation, behavioral health, skilled nursing, or home care is necessary required. Health plan experience in utilization review and case management will also be considered.


LICENSURE
Required

* Current license to practice in Massachusetts in Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, Social Work, or Masters in Rehabilitation Counseling.

Preferred

SKILLS (Specific learned activity gained through training (e.g. computer skills, keyboarding, presentation, CPR, ACLS, etc.)
Required

* Knowledge of community services and the health care system is required. Knowledge of medical review criteria, and levels of care is required.

* Computer proficiency required. Microsoft office applications preferred with ability to learn new software.

Preferred

* 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.



* High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.

* Attention to detail.

SRN is committed to diversity in the workplace which begins with respect and opportunity for all. SRN takes affirmative action to ensure that equal employment opportunity is provided to all persons regardless of race, religious creed, color, national origin, sex, sexual orientation, gender identity, genetic information, age, ancestry, veteran status, disability or any other basis that would be inconsistent with any applicable ordinance or law.