Case Manager/ Per Diem - East Sandwich at Partner's Healthcare in Sandwich, Massachusetts

Job Description:

Site: Rehabilitation Hospital of the Cape and Islands Corporation


At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.


At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.



Job Summary
Facilitate the coordination of care, from admission through discharge, with focus on realistic treatment outcomes within the scope of available resources. Oversee the assessment, planning, facilitation, coordination, evaluation and advocacy for options and services to meet a patient and family's comprehensive health needs and to promote quality cost-effective outcomes. Collaborate with the interdisciplinary team, patient and family, as well as various departments within and outside the hospital to assure timely and appropriate discharge planning and cost-effective outcomes.
- Assessment of the patient's health and psychosocial needs is conducted per established guidelines.
- Case management plan is developed collaboratively with the interdisciplinary team, patient and family to maximize health care responses, quality and cost effective outcomes, incorporating patient and family goals, expectations, and preferences into the development of the interdisciplinary plan of care
- Communication and coordination is actively promoted between members of the interdisciplinary team, the payer and the community to minimize fragmentation of services and to maximize outcomes.
- Patient centered team meetings are planned and conducted to coordinate healthcare team members and third party payers to achieve treatment outcomes and discharge planning goals
- Education is provided to the interdisciplinary team, the patient and the family about treatment options, community resources, insurance benefits and psychosocial concerns to ensure timely and informed decisions.
- Patient and family are empowered to problem solve to achieve desired outcomes and promote patient self determination.
- Appropriate use of health care services and allocation of resources is encouraged to improve quality of care and maintain a balance with cost effective care on a case by case basis.
- Appropriate resources are identified to provide discharge services and promote a safe transition to the next-most appropriate level of care.
- Discharge plan is developed in collaboration with healthcare team and family and meets patient needs and financial requirements.
- Culturally competent care is displayed to identify the patient's cultural needs and incorporate them in the development of the discharge plan.
- Patient education and support is provided to ensure a smooth transition from acute setting, through the SRN stay and transition to discharge using established standards.
- Documentation is completed in adherence to department standards.
- Third party coverage guidelines are adhered to for each patient situation. - Additional department, organization, or network activities are completed per established objectives.
- Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.


Experience
Required
- 5 years of related experience.
- Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing or outpatient setting is required.
Preferred
- Health plan experience in utilization review and case management will be considered.


Licensure
Required - Current, unrestricted license to practice in Massachusetts in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice of the discipline. Examples are Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, LCSW, Respiratory Therapist or Rehabilitation Counselor.



Qualifications


Experience Required - 5 years of related experience. - Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing or outpatient setting is required. Preferred - Health plan experience in utilization review and case management will be considered. Licensure Required - Current, unrestricted license to practice in Massachusetts in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice of the discipline. Examples are Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, LCSW, Respiratory Therapist or Rehabilitation Counselor. Skills (Specific learned activity gained through training (e.g. computer skills, keyboarding, presentation, CPR, ACLS, etc.) Required - Knowledge of community services and the healthcare systems required. - Knowledge of criteria and levels of care is desirable. - Computer proficiency required. Microsoft office applications preferred with ability to learn new software. Preferred - Certification in Case Management preferred. - Highly developed communications and interpersonal skills, working with diverse population. - Work independently, be self-directed and contribute as a member of a team. - Anticipates challenges and develops and implements strategies for addressing them. - High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations. - Attention to detail.



Additional Job Details (if applicable)


Additional Job Description



Remote Type


Onsite



Work Location


311 Service Road



Scheduled Weekly Hours


0



Employee Type


Per Diem



Work Shift


Day (United States of America)



EEO Statement:


Rehabilitation Hospital of the Cape and Islands Corporation is an Affirmative Action 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.



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.