What are the responsibilities and job description for the Director of Case Management, Spaulding Rehabilitation position at Spaulding Hospital - Boston and Cambridge?
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.
Does this position require Patient Care?
Yes
Essential Functions
-Lead and manage the case management department, ensuring all patient care coordination is effective and patient-centered.
-Develop and implement policies and procedures for case management, ensuring alignment with hospital standards and regulatory requirements.
-Collaborate with physicians, nursing, and ancillary teams to facilitate patient care transitions, discharge planning, and follow-up care.
-Oversee the development and use of care plans, ensuring they are individualized, updated, and meet the needs of patients.
-Monitor and evaluate patient outcomes and resource utilization to ensure quality care and cost-efficiency.
-Manage staff recruitment, training, and performance evaluation to maintain a high-performing case management team.
-Ensure compliance with all federal, state, and local regulations related to case management and discharge planning.
-Analyze case management data and trends to develop improvement strategies for patient care and operational efficiency.
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.
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.
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%)
The Spaulding Rehabilitation Hospital Corporation is an Equal Opportunity 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.
SRN is committed to diversity in the workplace which begins with respect and opportunity for all. SRN takes affirmative action to ensure that equal employment opportunity is provided to all persons regardless of race, religious creed, color, national origin, sex, sexual orientation, gender identity, genetic information, age, ancestry, veteran status, disability or any other basis that would be inconsistent with any applicable ordinance or law. If you need a reasonable accommodation in coming to or participating in the interview process, please let us know.
