Case Manager

Spaulding Hospital - Boston and Cambridge; Cambridge (MA); On-site; USD 69,000 - 85,000; Full time

Job summary

Spaulding Hospital-Cambridge is seeking a dedicated healthcare case manager to join our team in Cambridge, MA. The role involves completing intake interviews, determining medical and psycho-social needs, and coordinating post-discharge services with physicians, therapists, and payers.

Ideal candidates have 2–3 years of case management, utilization review, or discharge planning experience and hold a MA license (RN/PT/OT/SLP/RT or LCSW/LICSW).

Qualifications

• Bachelor's Degree Related Field of Study required
• Can this role accept experience in lieu of a degree? No
• RN, PT, OT , SLP, RT or LCSW/LICSW required
• Case management, utilization review, or discharge planning experience 2-3 years preferred
• Educate and advocate for patients and families to coordinate post-discharge care

Responsibilities

• Completes intake interviews and assesses medical and psychosocial needs
• Reviews evaluations and plans with the care team to determine appropriate services
• Coordinates discharge planning and post-inpatient care with the clinical team
• Communicates with physicians, therapists, and payers to ensure timely and appropriate care
• Advocates for resources and entitlements for patients and families
• Ensures compliance with regulatory and accreditation standards

Skills

Case management

LTAC experience

Interpersonal skills

Education

MA license required (RN, PT, OT, SLP, RT or LCSW/LICSW)

Job description

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.

Job Summary

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

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.

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location

1575 Cambridge Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$69410.02 - $84,656.00/Annual

Grade

6At Mass General Brigham

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%)

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.