- Salary
- $80k – $116k
- Location
- 45 Francis Street Boston (Center For Women and Newborn), United States of America
- Workplace
- Onsite
- Type
- Temporary
- Education
- Bachelor
- Source
- Workday
Description
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
This job is temporary with an expected duration of 3-4 months with hospital option to extend or shorten based on operational or clinical needs.The role is an integral part of our clinical coordination team, providing support to providers, facilities, and members to ensure streamlined end-to-end transplant coordination. This position will be the single point of contact for facilities and providers for members who require transplant support, planning, utilization review, and follow-up. This role will track all members across lines of business identified for the transplant program. The position collaborates with members of the Utilization Management, Care Management, and medical director teams to support transplant-specific needs.
Does this position require Patient Care? No
Essential Functions
-In conjunction with other team members, ensures that transplant coordination is holistic and managed from end to end.
-Directly interact with providers and their staff to obtain additional clinical information, as well as with members or their advocates to understand the full extent of the need to plan transplant activities.
-Review information and provide recommendations to the collaborative team based on analysis of the clinical material.
-Tracks and monitors the status transplant eligible members to ensure comprehensive support and management.
-Coordinates communication between patients, healthcare providers, and insurance companies regarding discharge needs.
-Obtains appropriate authorizations and tracks each member individually to ensure accuracy in the file and to provide the full support required to coordinate transplant activities.
-Participates in interdisciplinary meetings to discuss complex cases and recommend solutions.
Qualifications
Education:
-Associate's Degree Nursing required and/or Bachelor's Degree Healthcare Administration or related field of study required
Can this role accept experience in lieu of a degree? No
Licenses and Credentials:
Registered Nurse [RN - MA State License]
Experience:
2-3 years' experience in health plan clinical services/utilization management required.
2-3 years Clinical experience required.
2-3 years transplant management expertise/knowledge required.
Knowledge, Skills and Abilities:
- Strong analytical and critical thinking skills.
- Excellent verbal and written communication abilities.
- Proficient in using electronic health records (EHR) and billing systems.
- Detail-oriented with strong organizational skills.
- Ability to handle sensitive information with confidentiality and professionalism. - Strong interpersonal skills to work effectively with various stakeholders.
Additional Job Details (if applicable)
Remote Type
Work Location
Pay Range
$79,560.00 - $115,720.80/Annual
Grade
7
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.