Top 74 Director of case management Jobs in Worcester Ma

Director of Case Management
Saint Vincent Hospital —Worcester, MA
- Day shift
- Master of Social Work
- Nursing
- RN License
- Health savings account
- Health insurance
Manager of Case Management, Case Management, 40-Hours, Days, 8:00am - 4:30pm, Monday - Friday, No weekends or holidays
Heywood Hospital —Gardner, MA
- Full-time
- Nursing
- RN License
- Hospital
1d
Senior Licensed Clinician
Spectrum Health Systems —Framingham, MA
- $74,000 - $85,664 a year
- Full-time
- Nursing
- Management
- Addiction Medicine
- Loan repayment program
- Health insurance
Quick Apply
Senior Clinician (LMHC / LICSW / LADC1)
Spectrum Health Systems —Shirley, MA
- $74,000 - $85,000 a year
- Weekends as needed
- Background check
- Management
- Mid-level
- Loan repayment program
- Health insurance
Quick Apply
Medical Billing Code Auditor- Healthcare Internal Audit - Hybrid work schedule
Fallon Health —Worcester, MA
- $87,500 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- 3 years
Director of Nursing
VitalCore Health Strategies —Lancaster, MA
- $128,000 - $145,600 a year
- Full-time
- Nursing
- RN License
- BC/BE
- Health savings account
- Paid holidays
Quick Apply
Social Worker
RegalCare at Blackstone Valley —Northbridge, MA
- $70,000 - $80,000 a year
- Full-time
- 5 years
- Licensed Clinical Social Worker
- Master's degree
Quick Apply
7d
Director of Nursing
VitalCore Health Strategies —Lancaster, MA
- $128,000 - $145,600 a year
- Full-time
- Nursing
- RN License
- BC/BE
- Health savings account
- Paid holidays
Quick Apply
Resident Care Director
The Willows at Westborough —Westborough, MA
- $92,000 - $115,000 a year
- Nursing
- RN License
- Mid-level
- Paid holidays
- Loan repayment program
Quick Apply
Medical Program Auditor/ Analyst
University of Massachusetts Medical School —Westborough, MA
- $80,000 - $95,000 a year
- Full-time
- Microsoft Excel
- Customer service
- Mid-level
Foster Care Program Director
Sevita —Worcester, MA
- $75,000 a year
- Full-time
- Residential
- Master's degree
- Bachelor's degree
6d
Executive Director
The Recovery Village —Worcester, MA
- $150,000 - $180,000 a year
- Weekends as needed
- Background check
- LMFT
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
9d
Executive Director
Promises Behavioral Health, LLC —Worcester, MA
- $150,000 - $180,000 a year
- Weekends as needed
- Background check
- LMFT
- Addiction Medicine
Regional Clinical Director
Key Program, Inc. —Worcester, MA
- $85,000 - $90,000 a year
- Full-time
- Bilingual
- Residential
- Master's degree
- Continuing education credits
- Paid holidays
Quick Apply
2d
Assistant Clinical Director - BCBA
Apex K Home Care Inc. —Worcester, MA
- $100,000 - $105,000 a year
- Full-time
- Experience working with individuals with developmental disabilities
- Management
- Mid-level
- Mileage reimbursement
- Paid holidays
Quick Apply
Complex Discharge RN Case Manager, 40hr, Days
UMass Memorial Health —Southbridge, MA
- $41.81 - $75.25 an hour
- 8 hour shift
- Nursing
- RN License
- Mid-level
Nurse Manager - Psychiatry Services- Marlborough Campus
UMass Memorial Health —Marlborough, MA
- $116,958.40 - $210,516.80 a year
- 8 hour shift
- Nursing
- Psychiatry
- RN License
14d
Assistant Program Director (LMHC, LICSW)
Northeast Family Services —Worcester, MA
- $75,000 - $85,000 a year
- Full-time
- Mid-level
- Office
- Driver's License
- Mileage reimbursement
- Paid holidays
Quick Apply
Behavioral Health Clinician -SBHC
Family Health Center —Worcester, MA
- $84,000 - $113,000 a year
- Full-time
- School experience
- Classroom
- High school
Quick Apply
1d
Clinical Director
Advocates —Worcester, MA
- $88,000 - $92,000 a year
- Full-time
- Addiction Medicine
- 5 years
- Writing skills

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director of case management jobs near worcester ma

Director of Case Management

Saint Vincent Hospital -
Worcester, MA

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Job Details

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance
Pet insurance

Qualifications

Master's degree in social work
Patient care outcome improvement
Managed case managers
TJC
Master of Social Work
Master's degree in business administration
Nursing
Performance improvement leadership
Master's degree in business
Utilization review
Master of Health Administration
RN License
Team leadership
LMSW
Health education for healthcare providers
Operations coordination
Efficiency improvement
Healthcare Administration
CMS
Hospital revenue cycle management
Bachelor's degree in business
Licensed Clinical Social Worker
Master's degree in nursing
State healthcare regulations
Transitional care planning in clinical case management
CMS regulatory compliance
Bachelor's degree
Quality compliance management
Resource utilization in healthcare
Patient family and caregiver education

Full Job Description

Overview

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Saint Vincent Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At Saint Vincent Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

Medical, dental, vision, and life insurance
401(k) retirement savings plan with employer match
Generous paid time off
Career development and continuing education opportunities
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

**This position is eligible for a $20,000 Sign-On Bonus**

The individual in this position has overall responsibility for hospital utilization management, transition management, and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy; and Education provided to physicians, patients, families, and caregivers

Responsibilities

Manage department operations to assure effective throughput and reimbursement for services provided
Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement
Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy
Ensure timely and effective patient transition and planning to support efficient patient throughput
develop and provide physician education and feedback on hospital utilization
other duties as assigned.

Qualifications

Required:
- Education: Bachelor's degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW
- Experience: 3 years of acute hospital case management or healthcare leadership experience

Licensure/Certification:
- Registered Nurse or LCSW/LMSW license.
- Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.
- Active RN or LCSW/LMSW license for state(s) covered.
Preferred:
- Experience: 5 years of acute hospital case management leadership multi-site experience
- Education: MSN, MBA, MSW, or MHA
- Licensure/Certification: Accredited Case Manager (ACM)

Organization Description

Saint Vincent Hospital has been providing high-quality healthcare to Worcester and the surrounding communities for more than 125 years. At Saint Vincent Hospital, we believe you should have access to the treatments you need without having to travel far from home. We are proud to have been the first hospital in central Massachusetts to offer robotically assisted surgical procedures and minimally invasive, computer-assisted joint replacements. Some of the distinctions we have received include designations as a Blue Distinction Center for Cardiac Services, Bariatric Surgery, and both Knee and Hip Replacement. We continue to be leaders in advanced treatments like ourCyberKnife Radiosurgery, and our Cardiac Rehabilitation Program whichoffers a unique, specialized approach to overcoming heart health challenges. Healthgrades awarded Saint Vincent Hospital #1 in Cardiology in the state and one of Americas 100 Best Hospitals for Coronary Intervention in 2023 and 2024, which puts Saint Vincent Hospital in the top 5% of hospitals nationwide for coronary intervention. At Saint Vincent Hospital, you can grow your career skills through a wide range of specialties and help support the overall health of our community. Join our team!

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2603003436

Manage department operations to assure effective throughput and reimbursement for services provided
Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement
Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy
Ensure timely and effective patient transition and planning to support efficient patient throughput
develop and provide physician education and feedback on hospital utilization
other duties as assigned.

Required:
- Education: Bachelor's degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW
- Experience: 3 years of acute hospital case management or healthcare leadership experience

Licensure/Certification:
- Registered Nurse or LCSW/LMSW license.
- Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.
- Active RN or LCSW/LMSW license for state(s) covered.
Preferred:
- Experience: 5 years of acute hospital case management leadership multi-site experience
- Education: MSN, MBA, MSW, or MHA
- Licensure/Certification: Accredited Case Manager (ACM)

Apply Now

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director of case management jobs in worcester ma

Director of Case Management

Manager of Case Management, Case Management, 40-Hours, Days, 8:00am - 4:30pm, Monday - Friday, No weekends or holidays

Senior Licensed Clinician

Senior Clinician (LMHC / LICSW / LADC1)

Medical Billing Code Auditor- Healthcare Internal Audit - Hybrid work schedule

Director of Nursing

Social Worker

Director of Nursing

Resident Care Director

Medical Program Auditor/ Analyst

Foster Care Program Director

Executive Director

Executive Director

Regional Clinical Director

Assistant Clinical Director - BCBA

Complex Discharge RN Case Manager, 40hr, Days

Nurse Manager - Psychiatry Services- Marlborough Campus

Assistant Program Director (LMHC, LICSW)

Behavioral Health Clinician -SBHC

Clinical Director

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