Hybrid Case Management Leader

Partner's Healthcare; Dover (NH); Hybrid; USD 59,000 - 142,000; Full time

Job summary

Mass General Brigham Community Physicians, Inc. seeks a supervisor to execute the clinical aspects of the Case Management process, providing outreach and enrollment services to meet eligibility requirements and coordinating with families, service providers, and patients to create healthcare plans.

The role includes supervising staff, developing and evaluating case management standards, and participating in improvement initiatives to deliver high-quality care and compliance with NCQA standards.

Qualifications

• Bachelor's Degree in Nursing or Master's Degree in Social Work required.
• LICSW or RN license in MA and NH required.
• 3+ years supervisory/management experience in a healthcare setting required.
• 3+ years of experience in case management, utilization review, or discharge planning required.

Responsibilities

• Provide day-to-day supervision to Case Managers and interns/students as appropriate.
• Ensure staff complete psychosocial assessments covering psychological, social and environmental concerns.
• Review daily referrals and screenings of patients.
• Audit case files for completeness and accuracy.
• Assist in discharge planning as required.
• Adhere to care management standards and NCQA compliance.

Skills

Supervisory experience

Healthcare experience

Case management

Communication

Analytical thinking

Education

Bachelor's Degree Nursing

Master's Degree Social Work

Job description

Mass General Brigham Community Physicians, Inc. seeks a supervisor to execute the clinical aspects of the Case Management process, providing outreach and enrollment services to meet eligibility requirements and coordinating with families, service providers, and patients to create healthcare plans.

The role includes supervising staff, developing and evaluating case management standards, and participating in improvement initiatives to deliver high-quality care and compliance with NCQA standards.