At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
Job Summary
Summary<br>Responsible for overseeing and managing case management services to ensure the efficient coordination of patient care across departments. Develops strategies to enhance care delivery, optimize patient outcomes, and ensure compliance with regulatory and hospital standards. Collaborates with clinical teams to facilitate patient transitions and improve resource utilization.<br><br>Does this position require Patient Care?<br>Yes<br><br>Essential Functions<br>-Lead and manage the case management department, ensuring all patient care coordination is effective and patient-centered. <br>-Develop and implement policies and procedures for case management, ensuring alignment with hospital standards and regulatory requirements. <br>
-Collaborate with physicians, nursing, and ancillary teams to facilitate patient care transitions, discharge planning, and follow-up care. <br>
-Oversee the development and use of care plans, ensuring they are individualized, updated, and meet the needs of patients. <br>
-Monitor and evaluate patient outcomes and resource utilization to ensure quality care and cost-efficiency. <br>
-Manage staff recruitment, training, and performance evaluation to maintain a high-performing case management team. <br>
-Ensure compliance with all federal, state, and local regulations related to case management and discharge planning. <br>
-Analyze case management data and trends to develop improvement strategies for patient care and operational efficiency. <br>
Develops and maintains contemporary case management practice in congruence with strategic goals of SRN and MGB CCM.
Develops and maintains a contemporary knowledge of utilization review, payer platforms, hospital reimbursement and value-based programs.
Qualifications
Education
Bachelor's Degree Nursing required
Master's Degree preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials Registered Nurse [RN - State License] - Generic - HR Only preferred
Experience
Experience in case management or care coordination 5-7 years required and Experience in a management or leadership role 3-5 years required
Knowledge, Skills and Abilities
- Strong leadership and team management abilities, with a focus on staff development and performance management.
- Proficient in case management principles and discharge planning, with knowledge of care coordination strategies.
- Excellent communication and collaboration skills, with the ability to work across multiple departments and disciplines.
- Analytical skills to monitor data, evaluate outcomes, and identify opportunities for improvement.
- In-depth knowledge of healthcare regulations, patient rights, and compliance standards.
Additional Job Details (if applicable)
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 - 35lbsPushing 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
300 First Avenue
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
The Spaulding Rehabilitation Hospital Corporation is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.
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.