Director of Case Management

This position is based at our Charlestown location and oversees all four of the facilities within the Spaulding Rehabilitation organization. Some local travel to these facilities is required.

Summary :

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

Physical Requirements

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.