Manager of Case Management

Boston, MA, United States

Spaulding Rehabilitation Manager of Case Management Charlestown , Massachusetts Apply Now Manager of Case Management - ( 3282319 )

Description

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

Qualifications and Experience

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.

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.

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. If you need a reasonable accommodation in coming to or participating in the interview process, please let us know.

Primary Location : MA-Charlestown-SRH Spaulding Rehabilitation Hospital Boston

Work Locations :

SRH Spaulding Rehabilitation Hospital Boston

300 1st Avenue

Charlestown 02129

Job : Case Management

Organization : Spaulding Hospital–Boston & Cambridge(SRN,SRH,SHC)

Schedule : Full-time

Standard Hours: : 40

Shift : Day Job

Employee Status : Regular

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