Case Manager

Director Care Management

The Director of Care Management is a Registered Nurse with strong leadership skills who assumes responsibility and accountability for the planning, organizing, development, and coordination of the daily clinical activities of the Care Management staff and Social Work Discharge Planners. Provides administrative and regulatory details and support to the Care Management staff in an effort to accomplish the department's goals and mission.

Essential Responsibilities/Duties:

• Provides direct care management care to patients and their families as needed.
• Manages patient flow communicating to the Care Management staff to expedite admissions, discharges, and transfers.
• Coordinates the Mentor Program for further development of Care Management staff.
• Intervenes in and provides consistent oversight for difficult cases supporting the activities of the Care Management staff in LOS reduction, quality of care, legal, ethical issues.
• Works collaboratively with health care teams for implementation and revision.
• Serves as liaison between patients, families, and the health care team.
• Directly supervises a team of Care Management and Utilization Review staff. Hire, train, schedule, performance manage, discipline, support professional growth and development of staff.
• Conducts extended-stay meetings with care management staff and care team stakeholders.
• Participates in continuing education through attendance and/or participation in in-services, grand rounds, seminars, conferences, staff meetings, and yearly Joint Commission requirements.
• Develops and implements the fiscal plan in collaboration with the finance team.
• Collaborates with MD and other disciplines in identifying and monitoring cost reduction efforts for patient care load and department.
• Collaborates with all disciplines over non-wage reduction initiatives.
• Implements LOS goals and maximizes clinical efficiencies.
• Develops daily and monthly schedule.

Job Requirements:

Required Education and Experience: Masters degree in Business or Nursing and 6 years of clinical experience 2 years of which must be in leadership or equivalent combination of education and experience.

Preferred Education and Experience (If none please enter N/A): 4-5 years of leadership experience preferred.

Certifications Licenses Registrations Required (If none please enter N/A): By start date active license to practice Nursing in the Commonwealth of Massachusetts.

Certifications Licenses Registrations Preferred (If none please enter N/A): N/A

Knowledge Skills & Abilities (KSAs) (If none please enter N/A): Strong leadership skills. Strong communication skills in-depth knowledge of Care Management fiscal issues. Ability to make formal presentations relative to clinical educational and financial issues. Knowledge of QIO Medicare Process

Compensation Range: $118,500.00- $172,000.00

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes but is not limited to benefits (medical, dental, vision, pharmacy) discretionary annual bonuses and merit increases Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.