Lead Registered Nurse

5 hours ago


Medford, Massachusetts, United States Mass General Brigham Full time
Care Transition Specialist Lead - Post Acute Capacity

Mass General Brigham is seeking a highly skilled and experienced Care Transition Specialist Lead to join our team in Medford, Massachusetts.

Job Summary:

The Care Transition Specialist Lead will be responsible for managing system referrals, escalations, and supporting patient progression in the post-acute care setting. This role will work closely 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.

Key Responsibilities:

  • Manage system referrals and escalations in the post-acute care setting
  • Support patient progression and ensure timely discharge
  • Collaborate with care team staff to develop and implement discharge plans
  • Act as a consultant to patients and families regarding the placement process and access to community resources
  • Establish homecare plans and document progress in the medical record

Requirements:

  • Bachelor's Degree in a related field
  • 3-yr experience in hospital discharge planning, long term care facility, community health or utilization review
  • Extensive knowledge of regulations, community organization, state and federal systems, medical terminology, and levels of healthcare
  • Strong interpersonal and communication skills

About Mass General Brigham:

Mass General Brigham is a leading healthcare system in the region, committed to providing high-quality, patient-centered care. We offer a comprehensive benefits package, including medical, dental, and vision insurance, as well as opportunities for professional growth and development.



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