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Healthcare management Jobs in Worcester, MA

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Healthcare management • worcester ma

Last updated: 18 hours ago

Director of Case Management

Wheeler Staffing PartnersWorcester, MA, US
$118,000.00 yearly
Full-time +1
Quick Apply

Director of Case Management for a leadership opportunity within an acute care hospital environment in Worcester, Massachusetts.This role is responsible for overseeing hospital utilization managemen... Show more

Healthcare Recruiter

Ascentria Care AllianceWorcester, MA, United States
Full-time

Job Category: People and Culture.Worcester, MA Headquarters Worcester, MA 01608, USA.Talent Acquisition Specialist Remote with the ability for occasional travel to locations in CT and MA) Must liv... Show more

Worcester Management Information Systems Tutor

Varsity TutorsWorcester, MA, US
Full-time

Worcester Management Information Systems Tutor Jobs* The Varsity Tutors platform has thousands of students looking for online Management Information Systems tutors nationally and in Worcester.As a... Show more

Remote Corporate Healthcare Professionals Survey – Healthcare Operations & Strategy Insights - AI

MercorWorcester, Massachusetts, US
$50.00 hourly
Remote
Full-time

Mercor is conducting a paid research study in collaboration with a leading AI research lab focused on improving healthcare operations, member experiences, and enterprise decision-making systems.We ... Show more

Director of Case Management

Veracity SolutionsWorcester, MA, United States
Full-time

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 promo... Show more

Sr. Healthcare PM with Data Migration Experience

SonSoft Inc.Worcester, MA, United States
Full-time

Healthcare PM with Data Migration Experience.USA based corporation duly organized under the laws of the Commonwealth of Georgia.Software Development, Software Consultancy and Information Technology... Show more

Director of Case Management

Tenet HealthcareWorcester, MA, United States
$118,560.00 yearly
Full-time

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 promo... Show more

Director of Project Management

Elevation3DShrewsbury, MA, United States
$100,000.00 yearly
Full-time

Director Of Project Management.The Director of Project Management is responsible for leading, developing, and overseeing the Project Management team to ensure consistent, high-quality execution of ... Show more

Management Trainee - Worcester area

Enterprise HoldingsWorcester, MA, United States
$56,000.00 yearly
Full-time

Start your career with Enterprise Mobility! We're hiring immediately for our respected Management Training Program.Whether you see yourself in sales, business development, customer service, retail ... Show more

Restaurant Management

Dunkin'Worcester, MA, United States
Full-time

A Restaurant Manager is responsible for the development of their team by providing strong, positive leadership and constructive feedback.They are responsible to deliver a great guest experience usi... Show more

Wealth Management Associate

Morgan StanleyWorcester, MA, United States
$68,000.00–$120,000.00 yearly
Full-time

Wealth Management Associates provide exceptional service to our clients and support Financial Advisor(s)/Private Wealth Advisor(s)/teams on a daily basis.As senior members of the service team, thro... Show more

Remote Management Consultant

Micro1Worcester, Massachusetts, US
Remote
Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

Burger King Management/Leadership

JSC Management GroupNorth Oxford, MA, United States
Full-time

We offer higher wages for candidates with past or present restaurant experience, and we offer world-class leadership training to assist our Leaders in achieving their personal and professional goal... Show more

Healthcare Recruiter

Maxim Health SystemsWorcester, MA, United States
Full-time

Maxim Healthcare is seeking a motivated and driven Healthcare Recruiter to join our dynamic team.This entry-level role is designed to provide you with the tools, training, and mentorship needed to ... Show more

Management & Program Analyst

Internal Revenue ServiceWorcester, MA, United States
Full-time

The following are the duties of this position at the full working level.If this vacancy includes more than one grade and you are selected at a lower grade level, you will have the opportunity to le... Show more

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Talent Management Specialist

NecWorcester, MA, United States
Full-time

Nouria Energy Corporation is a multi-generational family-owned wholesale fuel distributor, convenience store operator and car wash operator in New England.Our wholesale and retail fuel businesses a... Show more

Healthcare Administration - Entry Level Training Program

Dreambound Inc.Shrewsbury, Massachusetts, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

Sample Management Tech I

Charles River Laboratories, Inc.Shrewsbury, MA, US
Full-time

For 75 years, Charles River employees have worked together to assist in the discovery, development and safe manufacture of new drug therapies.When you join our family, you will have a significant i... Show more

Management & Program Analyst

US Government JobsWorcester, MA, United States
Full-time

A description of the business units can be found at:.Position(s) are to be filled in following area(s):.CI - CI Strategy, Human Resources.Review the additional information below for further details. Show more

Sales Associate / Management Trainee

Town Fair TireAuburn, MA, United States
$49,000.00 yearly
Full-time

Sales Associate / Management Trainee.The Sales Associate/Management Trainee position is responsible for all sales activities.He or she will own the sale from start to close.A large portion of your ... Show more

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Director of Case Management

Director of Case Management

Wheeler Staffing PartnersWorcester, MA, US
30+ days ago
Salary
$118,000.00 yearly
Job type
  • Full-time
  • Permanent
  • Quick Apply
Job description

Director of Case Management

Location: Worcester, MA
Employment Type: Full-Time | Direct Hire
Compensation: $118,000 – $183,000 annually
Relocation Assistance: Available based on distance

Position Overview

Wheeler Staffing Partners is seeking an experienced Director of Case Management for a leadership opportunity within an acute care hospital environment in Worcester, Massachusetts. This role is responsible for overseeing hospital utilization management, care coordination, transition planning, patient throughput, and operational leadership of the Case Management Department.

The Director of Case Management will lead utilization review and discharge planning initiatives to support appropriate reimbursement, improve patient outcomes, reduce avoidable days, and ensure compliance with all federal, state, and accreditation standards. This position works collaboratively with physicians, nursing leadership, revenue cycle teams, and interdisciplinary staff to drive operational efficiency and quality patient care.

Candidates must possess an active RN or LCSW/LMSW license and prior acute care hospital case management leadership experience.

Key Responsibilities

Case Management Leadership & Operations

  • Oversee daily operations of the hospital Case Management Department

  • Manage staffing levels, workflow distribution, and departmental productivity across seven-day operations

  • Lead case management staff development, onboarding, competency evaluations, and performance reviews

  • Conduct departmental meetings and ongoing education initiatives

  • Support recruitment, coaching, corrective actions, and employee engagement activities

  • Assist with department budgeting, operational planning, and performance improvement initiatives

Utilization Management

  • Oversee hospital utilization review processes to ensure appropriate patient status, level of care, and medical necessity compliance

  • Monitor compliance with CMS regulations, accreditation standards, and internal case management policies

  • Lead denial prevention initiatives and support payer communication processes

  • Monitor avoidable days, throughput metrics, and utilization trends to identify opportunities for operational improvement

  • Participate in revenue cycle meetings and support denial management and reimbursement optimization efforts

  • Support physician advisor review processes and peer-to-peer payer escalations

Transition Planning & Care Coordination

  • Ensure transition planning assessments are completed within required timelines

  • Support discharge planning and patient placement coordination activities

  • Collaborate with nursing leadership, physicians, ancillary departments, and external providers to ensure efficient patient throughput

  • Monitor care coordination documentation and transition planning compliance

  • Participate in daily bed management and complex case review discussions

  • Promote safe, timely, and patient-centered discharge planning processes

Regulatory Compliance & Quality

  • Ensure compliance with federal, state, and accreditation standards impacting case management operations

  • Maintain compliance with CMS Conditions of Participation and regulatory requirements

  • Monitor departmental adherence to utilization review procedures and documentation standards

  • Support implementation of audit recommendations and quality improvement initiatives

  • Develop and maintain departmental policies, procedures, and operational protocols

Education & Training

  • Provide education to physicians and interdisciplinary teams regarding medical necessity, utilization management, and regulatory compliance

  • Lead ongoing staff education related to case management best practices and utilization review standards

  • Support training initiatives related to InterQual criteria, documentation standards, and patient throughput processes

  • Foster a culture of collaboration, accountability, and continuous improvement

Required Qualifications

Education

  • Bachelor’s degree in Nursing, Healthcare Administration, Business, or related healthcare field required

  • Master of Social Work (MSW) required for Social Work candidates

  • Master’s degree in Nursing, Business Administration (MBA), or Healthcare Administration (MHA) preferred

Licensure

  • Active Registered Nurse (RN) license OR active LCSW/LMSW license required

Experience

  • 3–5 years of acute care hospital case management leadership experience required

  • 5+ years of acute hospital case management experience preferred

  • Experience with utilization management, denial prevention, discharge planning, and patient throughput initiatives required

  • InterQual® experience preferred

  • Business planning and operational management experience preferred

Preferred Certifications

  • Accredited Case Manager (ACM) certification preferred

Required Skills & Competencies

  • Strong leadership and team management skills

  • Knowledge of utilization management, care coordination, discharge planning, and reimbursement processes

  • Strong understanding of CMS regulations, Joint Commission standards, and hospital accreditation requirements

  • Excellent communication, presentation, and relationship-building abilities

  • Analytical and problem-solving skills with the ability to interpret utilization and operational data

  • Experience managing multiple priorities in a fast-paced acute care hospital environment

  • Strong project management and performance improvement capabilities

  • Ability to collaborate effectively with physicians, nursing leadership, revenue cycle teams, payers, and interdisciplinary staff

  • Experience with EMR training and utilization analytics and reporting tools preferred

Why Work With Wheeler Staffing Partners?

Wheeler Staffing Partners connects healthcare professionals with leading organizations nationwide. Our team specializes in placing top talent within healthcare leadership, clinical operations, case management, revenue cycle, nursing leadership, and hospital administration roles. We are committed to helping professionals advance their careers while supporting organizations dedicated to exceptional patient care.