Care Transition Specialist Lead

7 days ago


Boston, Massachusetts, United States Brigham & Women's Hospital(BWH) Full time
Care Transition Specialist Lead

Brigham and Women's Hospital is seeking a highly skilled Care Transition Specialist Lead to join our team. As a key member of our Care Continuum Management team, you will play a critical role in ensuring seamless transitions for patients from our hospital to community settings.

Key Responsibilities:
  • Coordinate long and short-term placements to extended care facilities, including rehabs, sub-acute, and chronic facilities.
  • Develop and maintain relationships with community agencies, clinics, schools, and courts to ensure optimal resource utilization.
  • Act as a consultant to patients, families, and hospital staff on placement processes and access to community resources.
  • Establish homecare plans in conjunction with Case Managers and document progress in the medical record.
  • Monitor quality of care in ECFs, home/community agencies, and report findings to the Program Manager.
Requirements:
  • Bachelor's Degree in a related field and 3-5 years of 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 skills to interact effectively with various levels of staff, patients, families, and community.
  • Ability to manage a variable workload, prioritize tasks, and work independently.
Working Hours:

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

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.



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