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. /Please Note Scheduled Hours:/ 8AM-4:30PM Monday-Friday // /_Duties and Responsibilities (these duties are a general summary and not all inclusive):___/ Oversee case coordination, utilization review, discharge planning, and resource allocation across assigned units. Ensure compliance with care standards through medical record audits, infection control surveillance, and reporting of communicable diseases. Facilitate care planning and level-of-care decisions with interdisciplinary teams, Physician Advisors, and third-party payers. Support staff education, lead quality improvement efforts, and contribute to internal publications and committee initiatives. Resolve coverage and reimbursement issues, prepare statistical reports, and communicate with Managed Care Organizations using EMR data. Provide cross-functional support including screening, DOC/HOC coverage, and referrals to Social Services or Patient Advocates.// // /Required Qualifications:/ Strong foundation in nursing principles, terminology, anatomy, physiology, and care standards across diverse patient populations. Proficient 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. /Preferred Qualifications:/ Demonstrates thorough knowledge of agency regulations, forms, safety protocols, supply procedures, and sterilization equipment used in medical settings. Understands and can explain applicable laws, policies, and community-based resources for nursing services, referrals, and laboratory testing.// /About the 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. /Learn more about: /what it's like to work as a DPH nurse /Learn more about Shattuck Hospital:/https://www.mass.gov/locations/lemuel-shattuck-hospital /Relocation information:/https://www.mass.gov/service-details/dph-renovation-for-shattuck-hospital-replacement-building /Pre-Hire Process:/ A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori/\_/ // // Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website, http://www.mass.gov If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form For questions regarding this requisition, please contact Executive Office of Health and Human Services, Human Resources at 1-800- 510-4122 Ext. #4 First consideration will be given to those applicants that apply within the first 14 days. MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) two years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) of which at least one year must have been in a supervisory, administrative or managerial capacity or (C) any equivalent combination of the required experience and the substitutions below. Substitutions: I. A Graduate degree with a major in Nursing may be substituted for a maximum of one year of the required (A) experience. No substitutions will be allowed for the required (B) 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 Comprehensive Benefits When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? _Explore our Employee Benefits and Rewards! 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. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role. Job: Medical Services Organization: Department of Public Health Title: *Case Manager - RN IV Location: Massachusetts-Boston-170 Morton Street Requisition ID: 2600008L
