Director, Nurse Navigation and Case Management, Healthcare at Home

Mass General Brigham Healthcare at Home
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Jun 19, 2025
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. Education: Bachelor's degree required in Nursing, Social Work, Healthcare Administration, or a related field Master's degree in a related field preferred Note: This role does not accept experience in lieu of a degree Licenses and Credentials: Required: Registered Nurse (RN) - Active state license in Massachusetts Or Licensed Independent Clinical Social Worker (LICSW) - MA Or Occupational Therapist - MA Experience 5-7 years of experience in case management or care coordination is required 3-5 years of experience in a management or leadership role is required Knowledge, Skills and Abilities - Strong leadership and team management abilities, with a focus on staff development and performance management. - Proficient in case management principles and discharge planning, with knowledge of care coordination strategies. - Excellent communication and collaboration skills, with the ability to work across multiple departments and disciplines. - Analytical skills to monitor data, evaluate outcomes, and identify opportunities for improvement. - In-depth knowledge of healthcare regulations, patient rights, and compliance standards. Experience in Home Hospital preferred but not required Mass General Brigham Home Care, Inc. 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.