Schedule Details:

Scheduled Hours:

Shift:

Hours:

Cost Center:

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health everyone is a caregiver regardless of their title or responsibilities. Exceptional patient care academic excellence and leadingedge research make UMass Memorial the premier health system of Central Massachusetts and a place where we can help you build the career you deserve. We are more than 16000 employees working together as one health system in a relentless pursuit of healing for our patients community and each other. And everyone in their own unique way plays an important part every day.

I. Major Responsibilities:
1. Conducts Long Stay/Complex Care Rounds with the Physician Advisor and followsup with key Next Steps within 24 hours of Rounds.
2. Participates in Complex Rounds for patient with Long length of stay and follows up with key next steps as indicated.
3. Develops effective relationships with the Physician Advisor (s) and other leadership physicians for effective relationships with physicians services specialties etc.
4. Provides consultation to the executive team forming effective relationships with The Director VPs and department heads keeping them up to date about regulatory issues health care and policy reform payer behaviors etc. as requested by the Director
5. Participates in the determination definition and periodic evaluation of a Case Management Dashboard using data to better understand strengths and weaknesses of the hospital and department and to determine needs decisions and strategies.
6. Provides effective communication systems and forums with third party payers the local PRO/QIO Medical Records and the Managed Care and finance offices.
7. Helps creates and manage interventions for unforeseen regional community and internal hospital crises.
8. Manages all software and sets up training as necessary.
9. Creates a yearly weekly and daily schedule in compliance with MNA contract and keeps personnel aware of changes needs and adjustments in staffing or scheduling required to meet the immediate and longterm goals of the department.
10. With the Director develops a formal plan for growth and/or change for employees as needed.
11. Conducts staff meetings and gives assistance to special internal department committees and projects.
12. Manages stable and reliable processes to anticipate and address specific situations within the department and between the department and other departments and external agencies.
13. Joins networks of case management professionals and attends conferences that are targeted at own identified learning needs as well as the interests of the health system.

Standard Management Level Responsibilities:
1. Directs and supervises assigned personnel including performance evaluations scheduling orientation and training. Makes recommendations on employee hires transfers promotions salary changes discipline terminations and similar actions. Resolves grievances and other personnel problems within position responsibilities.
2. Develops and recommends the budgets for the areas managed. Manages activities to assure financial goals are met.
3. Coordinates the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved.
4. Provides effective direction guidance and leadership over the staff for effective teamwork and motivation and fosters the effective integration of efforts with systemwide initiatives.
5. Encourages and supports diverse views and approaches demonstrates Standards of Respect and contributes to creating and maintaining an environment of professionalism respect tolerance civility and acceptance toward all employees patients and visitors.
6. Integrates diversity into departmental objectives such as hiring promotions training vendor selections etc.
7. Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations.
8. Ensures compliance with regulatory agencies such as Joint Commission DPH etc. Develops and maintains procedures necessary to meet regulatory requirements.
9. Ensures that department complies with hospital established policies quality assurance programs safety and infection control policies and procedures.
10. Ensures adequate equipment and supplies for department.
11. Develops and maintains established departmental policies procedures and objectives.
12. Ensures compliance to all health and safety regulations and requirements.
13. Maintains regular reliable and predictable attendance.
14. Performs similar or related duties as required or directed.
All responsibilities are essential job functions.

II. Position Qualifications:

License/Certification/Education:
Required:
1. Licensed Registered Nurse with BSN or equivalent.

Preferred:
1. Masters Degree or equivalent.
2. ACM RN or CCM
3. CMAC (Certification as a Case Management Administrator).

Experience/Skill:
Required:
1. Oneyear acute hospital experience as a direct care clinician or case manager and Oneyear experience in nonhospitalbased health care (home care insurance outpatient etc).
2. Previous experience managing staff or leading a successful largescale project implementation. Demonstrated leadership potential.
3. Must have computer skills critical thinking skills knowledge of DRGs Medicare Regulations Medical Necessity Criteria Patient Bill of Rights and HIPAA.
4. Knowledge and skills in the following areas are a necessity: Human Resource management program evaluation using subjective and objective data market assessment and strategic planning leadership for change/change management/operational improvement assessment and implementation of clinical systems identification of atrisk populations development of strategies to manage atrisk populations use of clinical software collaborative energetic proactive and technical writing for reports letters proposals etc.

Unless certification licensure or registration is required an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Departmentspecific competencies including agespecific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions:

Work is considered sedentary. Position requires work indoors in a normal office and patient care environment.

All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or protected veteran status.

Were striving to make respect a part of everything we do at UMass Memorial Health for our patients our community and each other. Our six Standards of Respect are: Acknowledge Listen Communicate Be Responsive Be a Team Player and Be Kind. If you share these Standards of Respect we hope you will join our team and help us make respect our standard for everyone every day.

As an equal opportunity and affirmative action employer UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race color religion gender sexual orientation national origin age disability gender identity and expression protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability please contact us at We will make every effort to respond to your request for disability assistance as soon as possible.