Clinical Care Coordinator for Case Management

1 week ago


Chestnut Hill, United States Mass General Brigham Full time

Mass General Brigham is seeking a skilled Clinical Care Coordinator to join their Case Management team in Chestnut Hill, Massachusetts.

About the Role

This is an exciting opportunity for a dedicated and compassionate professional to facilitate seamless transitions of care for patients admitted to Medical, Surgical, Pediatric, or Obstetrical Services.

Responsibilities
  • Develop and implement effective discharge plans in collaboration with patients, healthcare teams, insurers, and community-based organizations.
  • Coordinate post-acute care services, including but not limited to home health, rehabilitation facilities, and skilled nursing facilities.
  • Utilize nationally accepted criteria to determine medical necessity of admissions and appropriate level of care for hospitalized patients.
  • Review patients' health records, communicate with healthcare teams, and ensure continued appropriate level of care.
  • Complete timely and accurate insurance reviews as requested by third-party payers.
Requirements

To be successful in this role, you will need:

  • A graduate degree in nursing from an accredited institution.
  • Current licensure as a Registered Nurse in the Commonwealth of Massachusetts, with a minimum of three years' clinical experience.
  • Evidence of continued education and professional development, preferably with certification in case management (CCM) or acute care case management (ACMA).
  • Prior experience in general acute care hospital settings, healthcare reimbursement, quality improvement, and enhanced models of healthcare delivery.
  • Knowledge of special needs and behaviors of infant, child, adolescent, adult, and older adult patients, preferred.
What We Offer

We offer a competitive salary range of $83,000 - $110,000 per annum, depending on experience, plus a comprehensive benefits package, including:

  • Medical, dental, and vision benefits.
  • Life insurance.
  • Employee assistance programs.
About Mass General Brigham

Mass General Brigham is a leading healthcare system that values diversity, equity, and inclusion. We strive to create a welcoming environment for employees, patients, and families from diverse cultures, ethnic backgrounds, ages, lifestyles, and physical abilities.



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