Care Transition Specialist Lead

3 weeks ago


Étreux, Hauts-de-France, United States Brigham & Women's Hospital(BWH) Full time

Care Transition Specialist Lead Job Summary

Brigham and Women's Hospital (BWH) is seeking a highly skilled Care Transition Specialist Lead to join our Care Continuum Management team. The successful candidate will be responsible for managing system referrals, escalations, and supporting patient progression in post-acute care settings.

Key Responsibilities:

  1. Assist with MGB Post-Acute Capacity referrals as directed by the Post-Acute Capacity team.
  2. Proactively facilitate referrals across Mass General Brigham, ordering of equipment, and completion of forms.
  3. Act as a consultant to the hospital community, patients, and families regarding the placement process and access to community resources.
  4. Establish homecare plans in conjunction with the CCM and document progress in the medical record.
  5. Coordinate and expedite final transfers with staff, patient, family, and facility.

Requirements:

  1. Bachelor's Degree required and health care experience, preferably in extended care facilities and community agencies.
  2. Required, 3-yr experience in hospital discharge planning, long term care facility, community health, or utilization review.

Working Hours: Tuesday - Saturday, 8:00am to 4:30pm or 8:30am to 5pm, rotating hour, hybrid schedule.



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