Lemuel Shattuck Hospital is seeking a dedicated and experienced Case Manager to coordinate key functions within our Case Management Program. The ideal candidate will ensure appropriate use of healthcare resources by reviewing admissions and continued stays, while guiding patients to the most suitable placement along the continuum of care. This vital role encompasses Utilization Review, Performance Improvement, Risk Assessment, Infection Surveillance, and the coordination of discharge planning.
Duties and responsibilities include overseeing case coordination, utilization review, discharge planning, and resource allocation across assigned units. Ensuring compliance with care standards through medical record audits, infection control surveillance, and reporting of communicable diseases. Facilitating care planning and level-of-care decisions with interdisciplinary teams, physician advisors, and third-party payers. Supporting staff education, leading quality improvement efforts, and contributing to internal publications and committee initiatives. Resolving coverage and reimbursement issues, preparing statistical reports, and communicating with managed care organizations using EMR data. Providing cross-functional support including screening, DOC/HOC coverage, and referrals to social services or patient advocates.
Required qualifications include a strong foundation in nursing principles, terminology, anatomy, physiology, and care standards across diverse patient populations. Proficiency in emergency procedures, diagnostic and monitoring equipment, infection control, and specimen handling. Skilled in documentation, data analysis, report preparation, and interpreting medical records, charts, and treatment plans. Effective communicator with the ability to instruct, collaborate across multidisciplinary teams, and support patients under stress. Demonstrates sound judgment, cultural sensitivity, confidentiality, and flexibility to work varied shifts and respond to emergencies.
About Lemuel Shattuck Hospital: Lemuel Shattuck Hospital is a fully Joint Commission accredited teaching facility that provides acute, subacute, and ambulatory care to patients referred by public agencies and private sector providers. Shattuck Hospital's services help economically and socially disadvantaged patients to get high quality, cost-effective care from a staff that respects their dignity. Located in the heart of Boston's Jamaica Plain neighborhood, the Shattuck Hospital includes 248 inpatient beds including 95 psychiatric beds and 29 correctional health beds. In addition, the Shattuck has a full outpatient clinic with many specialties that offers treatment to patients of the Department of Mental Health as well as Department of Correction and House of Correction inmates and community patients. The Shattuck hospital is on the forefront of substance use disorder treatment including a Suboxone clinic serving 200 patients. In addition to direct medical services LSH hosts and supports an array of services located on the campus, serving patients struggling with addictions and homelessness.
Minimum entrance requirements: applicants must have at least two years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and of which at least one year must have been in a supervisory, administrative or managerial capacity or any equivalent combination of the required experience and the substitutions below. Substitutions: a graduate degree with a major in nursing may be substituted for a maximum of one year of the required experience. No substitutions will be allowed for the required experience. Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.
Special requirements for all levels in series: current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing. Recent graduates from an approved school of nursing must have applied for the first available registered nurse examination. Based on assignment, possession of a current and valid Massachusetts motor vehicle operator's license may be required.
Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
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Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and influenza.
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law.