Manager Case Management

Site: Mass General Brigham Community Physicians, Inc.

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

Responsible for the execution of the clinical aspects of the Case Management process. Provides outreach and enrollment services to meet the eligibility requirements of the program and the surrounding counties. Ensures coordination and planning with the help of community and family support. Focuses on the development and coordination of community service plans. Partners with service providers, families, and patients to create a plan of healthcare and identify additional service providers. Responsible for overseeing and supervising staff, and serving as a role model for staff. Fully responsible for individual and team assignment of patients in a timely manner. Participates with leadership in the development of the case management standards, evaluation of outcomes, and development of improvement initiatives.

Primary 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, including evaluation of mental status.
• Review daily referrals and screenings of patients
• Audit case file on a regular basis for completeness and accuracy.
• Assist in discharge planning as required.
• Serves and protects the care management program by adhering to professional standards, care management policies and procedures, federal, state, and local requirements, and NCQA compliance.

Qualifications

Qualifications:

• Bachelor's Degree Nursing required or Master's Degree Social Work required

• Licensed Independent Clinical Social Worker (LICSW) State License in MA and NH required or Registered Nurse (RN) State License in MA and NH required

• 3+ years supervisory or management experience with professional staff in a healthcare setting required

• 3+ years of experience in case management, utilization review, or discharge planning required

Additional Knowledge, Skills and Abilities:

• Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Strong analytical ability, critical thinking and processing skills.
• Strong customer and interpersonal skills.
• Strong teamwork skills.
• Excellent organizational and communication skills.
• Ability to deal with rapid changing health care environment and Requires excellent interdisciplinary team collaboration skills.

Additional Job Details (if applicable)

Schedule and Work Model:

• Full-time, Monday through Friday, standard business hours.

• Hybrid work Model: Approximately 2-3 days per week on-site at Wentworth Health Partners practice sites in New Hampshire and southern Maine and approximately 2-3 days remote from home.

• On remote workdays, employees must use a stable, secure, and compliant workstation in a quiet environment. Teams Video is required and must be accessed using MGB-provided equipment.

Remote Type

Hybrid

Work Location

10 Members Way

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$58,656.00 - $142,448.80/Annual

Grade

98TEMP

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

6010 Mass General Brigham Community Physicians, 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.