Manager, Care Management

UMass Memorial Health - Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients from more than 20 towns in Central Massachusetts. The 149-bed medical center is a nonprofit, acute-care facility, where more than 300 primary care and specialty physicians are committed to providing exceptional healthcare services to our community with dignity, compassion and respect.

Statement of Purpose:

The Manager of Care Management (MCM) leads and directs all care management activities, ensuring patient care coordination, adherence to clinical protocols, and regulatory standards. The MCM shall develop and implement care management programs, policies, and strategies, often in collaboration with senior leadership. The role involves overseeing a team, developing and implementing care plans, and ensuring quality and cost-effectiveness of care. The MCM provides leadership and operational oversight of the Case Managers, Social Workers, Care Coordination Assistant, Post Hospital Transition Navigator, and Utilization Management functions. The MCM coordinates and facilitates the management of discharge planning, psychosocial & community supports for patients and their families to ensure the provision of well-coordinated, individualized care delivery across the continuum of care.

Qualifications:

Education:

• Bachelor of Science in Nursing required OR Masters in Social Work required
• Masters in Healthcare or MBA preferred

Certification / License: 

• Massachusetts Registered Nurse (RN) licensure required OR
• Massachusetts Licensed Independent Clinical Social Worker (LICSW) required
• Certified Case Manager, preferred
• Certified Professional in Healthcare Quality, preferred

Experience:

• 5+ years of inpatient case management or inpatient social work experience or equivalent required
• 2+ years of direct management experience including dealing with complex issues or equivalent
• Excellent writing skills and demonstration of good project and people management skills are required.
• Superior communication skills; skilled listener and encourages direct, open, and honest conversation, keeping all staff apprised of appropriate information;
• Proven ability to take initiative and build strong and productive personal relationships
• Excellent coaching, conflict resolution and mentoring skills
• Effectively manages team performance, including setting and holding employees accountable to established performance expectations. Ability to deliver effective feedback in a positive and constructive manner
• Ability to develop and foster relationships with both internal and external clients, medical staff and other clinicians
• Ability to prioritize and manage multiple priorities in a fast-paced environment, utilizing problem-solving skills, creativity, and critical thinking.
• Ability to work effectively in a team environment, and drive employee engagement and teamwork
• Demonstrated ability to conceptualize and drive performance and process improvement initiatives
• Strong presentation skills and ability to present at all levels of the organization
• Ability to formulate and execute strategic plans for the organization Demonstrated ability to make timely independent or team-led decisions based on available sound data and seasoned analysis.
• Demonstrated ability to guide others in financial decision-making and management of expenditures and resources consistent with strategic initiatives.
• Creative problem-solver with the willingness to take initiative in leading change as well as the ability to effectively manage change.