Job Description
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Every Saturday 8:30am-4:00pmThe Care Transition Specialist completes administrative responsibilities related to care progression and care transitions along the continuum of care. They work collaboratively with nurse care coordinators, social workers, physicians, and other care team members. The Care Transition Specialist is responsible for acting as an advocate for patients and patient families and strives to support Newton Wellesley Hospital’s aim for high quality care, high customer satisfaction, and optimal resource management.
Essential Functions:
1. Provides direct administrative support to the care team, patients, and patients’ caregivers:
-Support the administrative tasks and communication related to post discharge care (e.g., the 4Next process, faxing to long term care facilities, follow-up appointments, etc.).
-Performs administrative tasks to support the ordering of equipment, completion of forms, and medication authorizations.
-Distributes key forms and documents to comply with regulations (e.g., MOON, IM, etc.).
-Arranges all types of patient transportation under the direction of the care team.
-May participate in family meetings and interdisciplinary huddles to solicit and provide input related to their responsibilities.
-Completes administrative documentation under the direction of the care team.
2. Collects, confirms, and verifies key patient information (i.e., demographics, health care proxy, benefit verification, and patient preferences for pharmacy, VNA, etc.)
3. Maintains knowledge and reference materials on key resources available to patients and patients’ caregivers across the continuum:
-Acts as a knowledge resource for post-acute care resources, included but not limited to, insurance requirements, facility attributes, contact information, etc.
-Identifies and refers patients to community services (i.e., transportation, food programs, day programs, and financial programs)
-Communicates, consults, and collaborates with a wide range of social agencies, clinics, schools, and courts under the direction of the care team
Qualifications
Education:
- High School Degree or GED required.
- Associate’s Degree or Bachelor’s Degree preferred and health care experience, preferably in extended care facilities and community agencies.
- Preferred experience in hospital discharge planning, long term care facility, community health or utilization review.
Job Knowledge and Skills:
- Interpersonal skills to interact effectively with various levels of staff, patients, families and community organizations.
- Must be able to participate effectively in an interdisciplinary team setting.
- Extensive knowledge of regulations, community organization, state and federal systems, medical terminology and levels of health care.
- Must be able to manage a variable workload with the ability to constantly change priorities. Requires ability to work proactively and independently.
- Requires basic typing and/or computer data entry skills, experience with personal computer and software desirable.
- Must be very flexible in a constantly changing environment.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$ - $25.28/Hourly
Grade
3
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
