Manager Case Management

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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

Associate's Degree Nursing required or Master's Degree Social Work required. Bachelor's Degree Nursing preferred. 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

Pay & Benefits

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.

EEO Statement

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 View phone number on click.appcast.io.

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.

Company Culture

Combat disease. Hold a hand. Help people. Impact the world. Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives.

Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.