Case Manager

1400 The Spaulding Rehabilitation Hospital Corporation; Cambridge (MA); On-site; USD 69,000 - 85,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Spaulding Rehabilitation Hospital Corporation in Cambridge is seeking a skilled case manager to support LTAC patients. This full-time, day-shift role focuses on intake interviews, evaluating medical and psychosocial needs, and coordinating services with the clinical team.

The ideal candidate holds a Bachelor's degree in a related field, an MA license, and 2–3 years of discharge planning or utilization review experience.

Qualifications

• Bachelor's degree in related field required.
• Licenses: RN, PT, OT, SLP, RT or LICSW/LCSW per role.
• 2–3 years in case management, utilization review, or discharge planning preferred.

Responsibilities

• Complete intake interviews and determine need for medical and psycho-social evaluations.
• Review therapist and physician evaluations, care objectives and plans; coordinate services.
• Advocate for needed services and patient entitlements.
• Discuss assessment findings with physician/treatment team to maximize outcomes.
• Coordinate discharge and aftercare with guidance from the clinical team.
• Ensure compliance with state and federal regulations and credentialing bodies.

Skills

Case management

LTAC experience

MA license

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Job Summary

Site: The Spaulding Rehabilitation Hospital Corporation 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 is a full-time, day shift position working M-F.

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.

Ideal Candidate

• Case management experience
• LTAC experience
• MA license required (RN, PT, OT, SLP, RT or LCSW/LICSW)

Summary of Responsibilities

Responsible for completing intake interviews; determining need for medical and psycho-social evaluations; reviewing therapist and physician evaluations, care objectives, and plans; coordinating services being provided; advocating for needed services and entitlements.

Does this position require Patient Care? Yes

Essential Functions

• Discusses assessment findings and patient status with physician and /or treatment team to maximize outcomes.
• Assist in discharge planning as required
• Communicating effectively and efficiently internally and externally.
• Coordinates discharge and after care services with guidance from the clinical team
• Assists others and supports the team.
• Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
• Initiate a complete assessment, to gather and/or verify relevant baseline data, identify their understanding and expectations of their stay, and identify any potential issues/barriers to arranging post inpatient care.
• Proactively work with patient, caregiver, and the interdisciplinary team, including community providers of medical services, as appropriate, to develop a realistic and timely plan for post inpatient care.
• Identify and coordinate appropriate resources post discharge for patients requiring homecare, outpatient, or placement in an alternate level of care.
• Perform ongoing evaluation for appropriateness for the facility’s level of care by applying knowledge of level of care criteria with active collaboration with patients insurance payer
• Comply with all applicable State and Federal regulations as well as other credentialing bodies, including but not limited to, Joint Commission and CARF, regarding the case management process.

Qualifications

• Education: Bachelor's Degree Related Field of Study required
• Can this role accept experience in lieu of a degree? No
• Licenses and Credentials: RN, PT, OT, SLP, RT or LCSW/LICSW required
• Experience: Case management, utilization review, or discharge planning experience 2-3 years preferred
• Knowledge, Skills and Abilities:
  • Strong customer and interpersonal skills.
  • Knowledge of community service resources.
  • Proficient User in Microsoft Office Applications.
  • Strong commitment to clinical excellence.
  • Strong problem solving skills and team oriented behavior.
  • Strong patient/customer service skills.
  • Ability to verbally calm patients.

Physical Requirements

Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%)

Remote Type

Onsite

Work Location

1575 Cambridge Street

Schedule

Weekly Hours: 40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$69,410.02 - $84,656.00/Annual Grade 6

EEO Statement

1460 Spaulding Hospital-Cambridge, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Combat disease. Hold a hand. Help people. Impact the world.

Company Culture and Mission

Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.