Care Transition Specialist, Lead
3 days ago
Job Description - Care Transition Specialist, Lead - Post Acute Capacity (3306013) GENERAL SUMMARY/OVERVIEW As a member of the Mass General Brigham - Care Continuum Management team, the Care Transition Specialist Lead will routinely perform Care Transition Specialist duties in addition to completing and supporting with analytical, administrative, and escalation duties for MGB Post-Acute Capacity and as directed by department administration. The analytical, administrative, and training duties will be balanced with the Care Transition Specialist duties by department administration. The Care Transition Specialist Lead will work with Case Managers, Social Workers, and other care team staff to ensure that patients receive the resources and services they need to successfully return to a community setting, including home with services (i.e. Visiting Nurse Association) or without services, skilled nursing facility, acute rehab, long term acute care facility or outpatient clinic. The Care Transition Specialist Lead is responsible for managing system referrals, escalations and supporting patient progression. The Care Transition Specialist Lead is responsible for acting as an advocate for patients and patient families and strive to support the hospital’s aims for optimal resource management, high customer satisfaction, and high quality care. Patient Care Management: Assists with MGB Post-Acute Capacity referrals as directed by the Post-Acute Capacity team. Proactively facilitates referrals across Mass General Brigham, ordering of equipment (e.g. DME) and medication, completion of forms, and placement from inpatient and outpatient settings. Acts as a consultant to the hospital community, patients and families regarding the placement process and access to community resources. Establishes homecare plan in conjunction with the CCM and documents the plan and progress in the medical record, including assistance with obtaining medications or DME needed at discharge. Coordinates and expedites final transfer with staff, patient, family and facility. Updates the staff on new facilities, services, and resources; and maintains a library of reference materials. Referral Management: Coordinates long and short term placements to extended care facilities, e.g. rehabs, sub-acute, etc. Documents discharge plan in electronic referral system or via fax, and monitors, and manages follow-up or escalates, as needed. Actively communicates, consults and collaborates with a wide range of social agencies, clinics, schools and courts. Plans, when appropriate, a continuation of previous utilization management services and/or agency for continuity of care. Interprets insurance coverage and makes recommendations for short term rehab or non-acute options. Develops relationships and maintains contact with appropriate facilities and resources. Occasionally visits sites. Evaluation: Monitors quality of care in ECF’s, home/community agencies and reports findings to the Program Manager. Maintains current information on non-acute provider agencies, including SNF, sub-acute, acute rehab and chronic facilities, including programs, homecare and specialties available. Acts as a resource to staff, patients and families concerning this information. Provides follow-up and ongoing assistance with assessing community and ECF services. Follows up and tracks utilization of referred patients for evaluation purposes and provides feedback to the Program Manager. Participates in relevant planning meetings to provide input into practice and program needs. Performance Improvement: Maintains a statistical data base on escalations, referrals, admissions and homecare/community agency resources and tracks discharge process utilized by the patient. Participates in the development and monitoring of performance standards for extended care facilities and homecare/community agencies. Maintains documentation to support findings. Maintains contact with State regulatory agencies and non-acute care provider agencies to keep current on the rules and regulations needed to facilitate discharge planning. Analysis, Administrative, and Training Duties: Analyzes operational data to evaluate performance as directed by department administration. Supports the documentation of outcomes and ideas generated through task forces and initiatives as it relates to the department’s objectives and specifically related to Post-Acute as directed and overseen by department administration. Meet expectations related to collection and synthesis of relevant data, communication summaries, and tracking of tasks and related outcomes as directed by department administration. Manage ad hoc projects as directed by department administration. Facilitate process and technical training for Care Transition Specialists and other department roles as directed by department administration. Working hours: Tuesday – Saturday, 8:00am to 4:30pm or 8:30am to 5pm, Rotating Hours, Hybrid Qualifications: Bachelor’s Degree required and health care experience, preferably in extended care facilities and community agencies. Required, 3-yr experience in hospital discharge planning, long term care facility, community health or utilization review. SKILLS/ABILITIES/COMPETENCIES REQUIRED: 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. Brigham and Women’s Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability. Primary Location BWH Boston Main Campus, 75 Francis St, Boston 02115 Job Social Services/Mental Health - Other Organization Brigham & Women's Hospital(BWH) Schedule Full-time, Standard Hours: 40 Shift Rotating, Posted Shift Description: Tuesday - Saturday 8am to 4:30pm or 8:30am to 5pm Employee Status Regular #J-18808-Ljbffr
-
Care Transition Specialist, Lead
5 months ago
Boston, United States Brigham & Women's Hospital(BWH) Full timeCare Transition Specialist, Lead / 40 hour Rotation - BWH Care Coordination - Post Acute Capacity GENERAL SUMMARY/OVERVIEW As a member of the Mass General Brigham - Care Continuum Management team, the Care Transition Specialist Lead will routinely perform Care Transition Specialist duties in addition to completing and supporting with analytical,...
-
Critical Care Transition Specialist
1 week ago
Boston, Massachusetts, United States TotalMed Full timeAbout TotalMedTotalMed is a leading healthcare staffing agency dedicated to providing exceptional nursing services. We offer a wide range of opportunities for travel nurses and allied health professionals.Job Title: Critical Care Transition SpecialistLocation: Boston, MassachusettsEstimated Salary: $97,468 per year (based on 2,375.86/week)About the Role:The...
-
Care Transition Specialist II
4 months ago
Boston, United States Brigham & Women's Hospital(BWH) Full timeCare Transition Specialist II - 40 hour Rotating - BWH CCM Care Coordination GENERAL SUMMARY/OVERVIEW The Care Transition Specialist works collaboratively with Care Coordination to complete administrative responsibilities related to care progression and care transitions along the continuum of care. They work collaboratively with nurse care coordinators,...
-
Care Transition Specialist II
3 days ago
Boston, United States Brigham & Women's Hospital(BWH) Full timeCare Transition Specialist II - 40 hour Rotating - BWH CCM Care Coordination GENERAL SUMMARY/OVERVIEW The Care Transition Specialist works collaboratively with Care Coordination to complete administrative responsibilities related to care progression and care transitions along the continuum of care.They work collaboratively with nurse care coordinators,...
-
Care Transition Specialist II
1 month ago
Boston, United States Brigham and Women's Hospital Full timeDescription Care Transition Specialist II - 40 hour Rotating - BWH CCM Care Coordination GENERAL SUMMARY/OVERVIEW The Care Transition Specialist works collaboratively with Care Coordination to complete administrative responsibilities related to care progression and care transitions along the continuum of care. They work collaboratively with nurse care...
-
Portfolio Transition Project Lead
4 days ago
Boston, Massachusetts, United States BNY Full timeCompany OverviewBNY Mellon is a leading global financial services company, with a strong culture that empowers employees to grow and succeed. As a center of the world's financial system, BNY Mellon touches nearly 20% of the world's investible assets.Salary$120,000 - $180,000 per year, based on experience.Job DescriptionRole SummaryWe are seeking an...
-
Transition of Care Registered Nurse
3 days ago
Boston, United States LeadingAge Full timeJob Location: 415 Columbia Rd - Dorchester, MA Position Type: Full Time 30+ hours Education Level: 2 Year Degree Salary Range: Undisclosed Travel Percentage: None Job Shift: Day Job Category: Health Care Position Title: Transition of Care Registered Nurse Department: Nursing Supervisor: Director of Nursing Hours per week: 40 Primary Function: The Transition...
-
Critical Care Specialist
1 week ago
South Boston, Virginia, United States US Acute Care Solutions Full timeAre you passionate about delivering exceptional patient care in a fast-paced environment? Do you have what it takes to thrive in a dynamic team as a Critical Care Specialist at US Acute Care Solutions?About the RoleWe are seeking an experienced and skilled Critical Care Specialist to join our team. As a key member of our healthcare team, you will be...
-
Critical Care Transition Nurse
1 week ago
Boston, Massachusetts, United States TotalMed Full timeCritical Care Transition Nursing OpportunityWe are seeking a skilled Critical Care Transition Nurse to join our team at TotalMed. As a Critical Care Transition Nurse, you will play a vital role in providing specialized care for patients transitioning from critical care to general medical-surgical units.Job OverviewThe ideal candidate will have strong...
-
Family Care Specialist
1 week ago
Boston, Massachusetts, United States Care Full timeOverviewCare.com is a leading platform for finding and managing high-quality family care, available in more than 20 countries.About the RoleWe are seeking a qualified Family Care Specialist to provide childcare services to multiple families in their homes. As a key member of our team, you will be responsible for creating a safe, nurturing, and stimulating...
-
Lead Systems Operations Specialist
2 weeks ago
Boston, Massachusetts, United States Massachusetts District Court Full timeJob OverviewThe Massachusetts District Court is seeking a highly skilled Lead Systems Operations Specialist to oversee the maintenance and updates of our IT infrastructure. This individual will be responsible for managing Windows AD Administration, ensuring seamless system operations, and providing technical guidance to team members.Estimated Salary Range:...
-
Boston, United States Partners HealthCare Full timeAre you a dedicated and experienced nurse with a passion for improving patient care and driving positive health outcomes? The Population Health Management (PHM) department at Mass General Brigham invites you to bring your expertise to a dynamic team committed to innovative care models that enhance patient value across our system. Why Join Mass General...
-
Travel Care Specialist
4 days ago
Boston, Massachusetts, United States GLC On-The-Go Full timeCompany OverviewGLC On-The-Go is a trusted partner in the staffing industry, dedicated to connecting healthcare professionals with opportunities that align with their career goals and lifestyle.About Our OpportunityWe are currently seeking a travel care specialist to join our team in Boston, Massachusetts. This is an exciting opportunity for a skilled RN to...
-
Stroke Nurse Navigator
1 week ago
Boston, Massachusetts, United States Tufts Medicine Full timeJoin Tufts Medicine, a leading integrated health system in Massachusetts, and contribute to delivering exceptional care experiences to consumers across the state.Job OverviewWe are seeking a Stroke Nurse Navigator - Primary Care Specialist to join our team at Tufts Medical Center. As a key member of our Comprehensive Stroke Center, you will play a vital role...
-
Nurse Care Specialist
1 week ago
Boston, Massachusetts, United States Mass General Brigham Full timeJob OverviewWe are seeking a skilled Nurse Care Specialist to join our team at Mass General Brigham Healthcare at Home.About the RoleThis is an ongoing, 36 hour per week position with a 12 hour day shift. As a Nurse Care Specialist, you will provide quality clinical services to patients in various settings within the community.ResponsibilitiesDevelop and...
-
Boston, Massachusetts, United States Tufts Medical Center Full timeJob Summary:We are seeking an experienced Nursing Professional to join our team as an Endoscopy Care Specialist. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and clinical support services in accordance with physician orders.Responsibilities:Assess, plan, implement, and evaluate age-appropriate care...
-
Project Manager
7 days ago
Boston, United States BNY Full timeAt BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world's financial system we touch nearly 20% of the world's investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the table to create solutions with our clients that benefit...
-
Project Manager
5 days ago
Boston, United States BNY Full timeAt BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world's financial system we touch nearly 20% of the world's investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the table to create solutions with our clients that benefit...
-
Corporate Banker
1 month ago
boston, United States Madison-Davis, LLC Full timeAvailable Locations: Boston, MA / Los Angeles, CA / Seattle, WA / San Francisco, CA / Baltimore, MD / Washington DC / Atlanta, GA / Cincinnati, OH / Houston, TX / Denver, COKey Responsibilities:Client Relationship Management: Develop and nurture relationships with middle-market corporate clients, providing tailored advice on a wide range of corporate finance...
-
Corporate Banker
2 months ago
Boston, United States Madison-Davis, LLC Full timeAvailable Locations: Boston, MA / Los Angeles, CA / Seattle, WA / San Francisco, CA / Baltimore, MD / Washington DC / Atlanta, GA / Cincinnati, OH / Houston, TX / Denver, COKey Responsibilities:Client Relationship Management: Develop and nurture relationships with middle-market corporate clients, providing tailored advice on a wide range of corporate finance...
