Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $xxxxxx Sign On …
Skills: Case management, Utilization management, Social services, Discharge planning, Leadership
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Full-time
bachelor degree, postgraduate degree
Competitive wages, Great benefits, Generous earned time off, Sign on bonus
Posted 18h ago
Apply by Jan 28
~40 hrs/week
Responsibilities
The Manager of Case Management oversees case management, social services, and utilization management operations across Heywood and Athol Hospital. They provide leadership for discharge planning, staff development, and ensure compliance with clinical protocols and regulatory standards.
Requirements
Candidates must hold a BSN (with MSN preferred) and an active Massachusetts Registered Nurse license. The role requires at least five years of case management experience, including a minimum of three years in acute care inpatient settings.
Full job description
Overview
You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter!
This job may be eligible for a $xxxxxx Sign On Bonus! Hours: *
Disclaimer:We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.
Job Summary:As a member of the Heywood Healthcare Family, The Manager of Case Management is responsible for the provision of service for Case Management, Social Service, and Utilization Management for Heywood Healthcare (Heywood and Athol Hospital. Oversight includes the Swing Bed Program in conjunction with the Swing Bed Coordinator at Athol Hospital, a critical access hospital. The Manager will provide leadership, direction, and support for discharge planning, social work, utilization review, cost-effectiveness, accountability, and best practice. The Manager will work collaboratively with community and internal stakeholders.
Responsibilities
ESSENTIAL FUNCTIONS
Management
Provides coaching and education for staff so that they can meet/exceed performance expectations, such as:
Develop and implement performance improvement plans in collaboration with the Director.
Provide constructive feedback to employees.
Ensures that employee skills match job requirements.
Completes all employee performance evaluations by evaluation due dates.
Oversees daily operations to meet the vision of providing service to the community, such as:
Improves patient and/or customer satisfaction.
Responds to customer requests and concerns in a timely and effective manner.
Meets/exceeds customer expectations so that the customers select and recommend Heywood Hospital as their primary source of healthcare, such as:
Utilizes customer satisfaction data to develop and anticipate customer service systems.
Staffing patterns and work flow design match customer requirements.
Manages resources to ensure adequate resources and future growth, such as:
Develops and maintains department budget in conjunction with the Director. Monitors OT and justifies variances to the budget.
Review and approval payroll weekly.
Interviews, hires, and onboarding new staff.
Reduces costs and/or increases revenues.
Collaborates/coordinates projects/activities with other departments, teams, and task forces to build a team approach to healthcare delivery, such as:
Participates on task forces, PI teams, committees, etc.
Leads task forces, PI teams, committees, etc.
Manager of Case Management
Acts as a resource for the care transitions department.
Demonstrates the clinical expertise necessary to perform as a role model for staff. Provides feedback to staff during daily rounds concerning: level of care, ABN/HINN notices, and care progression.
Lead and direct all case management and social services activities, ensuring patient care coordination and adherence to clinical protocols and regulatory standards.
Reviews department clinical services and operations, and tracks case management and social services activity. Identifies areas for performance improvement by examining productivity and workload within each department. Coaches, mentors and assesses staff in service delivery.
Develops and implements Utilization Review based on internal data collection, data received from external agencies, physician advisors and the medical director. Analyzes appropriateness of resource utilization and communicates findings.
Maintains necessary levels of staff qualifications, competencies, staffing levels, regulatory compliance, individual development plans, continuing education and performance appraisal.
Manages resource use and provides input to Director regarding expense and revenue decisions. Monitors outcomes and staffing needs to adequately allocate personnel resources.
Ensures department achieves goals and objectives by developing scope of service and policies/procedures, establishing/maintaining effective relationships with physicians/APPs, and collaborating with other disciplines. Assesses goals and utilizes data to effect corrective action.
Ensures appropriateness of admissions and proper reimbursement. Works collaboratively with finance.
Ensures proper discharge planning for a smooth transition post-acute care.
Reviews and presents data relative to avoidable days, denials, length of stay and other key metrics to leadership.
Perform internal audits to ensure compliance with organizational and state/federal practices, policies, and regulations.
Assists Director with developing and/or revising policies and procedures to comply with regulations and best practice.
Other duties as assigned.
Statement of Other Duties
This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.
Organizational Expectations
Behavioral Attributes
The following behavioral attributes are required: achievement, motivation, flexibility, concern for order, initiative, self-confidence, self control, and customer service orientation, interpersonal effectiveness, analytical and information seeking.
Functional Demands
Physical Requirements
Exerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).
Qualifications
Job Requirements
Minimum Education
BSN required or must matriculate within 1 year of hire; MSN preferred.
Minimum License and Certifications
Registered nurse required with an active Massachusetts license
Case Management Certification preferred
Minimum Work Experience
Previous management experience required
Five or more years of case management experience
Minimum 3 years of Acute Care Inpatient Case Management experience required
Required Skills
Previous UR/QA experience required
InterQual experience preferred.
Must have effective written, verbal, and interpersonal communication skills
Discharge planning experience as it pertains to the care transitions, referral process, patient preference/choice services, patient & family satisfaction, post-discharge follow-up, etc.
Provides administrative and Swing Bed admission oversight responsibilities; leadership experience a plus.
Related keywords
Case ManagementUtilization ManagementSocial ServicesSwing Bed ProgramDischarge PlanningAcute CareInpatientRegistered NurseInterQualPerformance ImprovementClinical ProtocolsRegulatory ComplianceBudgetingStaff DevelopmentCare TransitionsUtilization Review
To be our communities’ trusted choice for exceptional patient-centered care
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
1907
Headquarters
Gardner, MA
LinkedIn followers
1,531
Heywood Healthcare is an independent community healthcare system serving north central Massachusetts and southern New Hampshire. It is comprised of Heywood Hospital, a 134-bed acute care community non-profit hospital in Gardner, MA; Athol Hospital, a 25-bed not-for-profit, Critical Access Hospital in Athol, MA and Heywood Medical Group, with primary care physicians and specialists located throughout the region.
Heywood Medical Group includes multiple satellite facilities throughout the region: Ashburnham Family Medicine, Heywood Rehabilitation Center, Summit Family Medicine, Main Street Primary Care & Heywood Urgent Care in Gardner, the Winchendon Health Center & Murdock School-based Health Center in Winchendon, Athol Primary Care, Tully Family Medicine and Walk-In Care in Athol, and ACES School Based Health Center, in Athol. For more information, visit www.heywood.org.
Offices: 242 Green Street, Gardner, MA 01440 , US · 2033 Main St., Athol, MA 01331, US · 250 Green St., Gardner, MA 01440, US · 266 Main St., Gardner, MA 01440, US · 3 Memorial Dr., Murdock Middle High School, Winchendon, MA 01475, US
OrthopedicsObstetrics & GynecologyBehavioral Health ServicesHeart & Vascularand EndocrinologyNutrition& DiabetesHospitalHealth CareMedical
To be our communities’ trusted choice for exceptional patient-centered care
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
1907
Headquarters
Gardner, MA
LinkedIn followers
1,531
Heywood Healthcare is an independent community healthcare system serving north central Massachusetts and southern New Hampshire. It is comprised of Heywood Hospital, a 134-bed acute care community non-profit hospital in Gardner, MA; Athol Hospital, a 25-bed not-for-profit, Critical Access Hospital in Athol, MA and Heywood Medical Group, with primary care physicians and specialists located throughout the region.
Heywood Medical Group includes multiple satellite facilities throughout the region: Ashburnham Family Medicine, Heywood Rehabilitation Center, Summit Family Medicine, Main Street Primary Care & Heywood Urgent Care in Gardner, the Winchendon Health Center & Murdock School-based Health Center in Winchendon, Athol Primary Care, Tully Family Medicine and Walk-In Care in Athol, and ACES School Based Health Center, in Athol. For more information, visit www.heywood.org.
Offices: 242 Green Street, Gardner, MA 01440 , US · 2033 Main St., Athol, MA 01331, US · 250 Green St., Gardner, MA 01440, US · 266 Main St., Gardner, MA 01440, US · 3 Memorial Dr., Murdock Middle High School, Winchendon, MA 01475, US
OrthopedicsObstetrics & GynecologyBehavioral Health ServicesHeart & Vascularand EndocrinologyNutrition& DiabetesHospitalHealth CareMedical