CARE TRANSITION SPECIALIST / 40 HOURS / ROTATING - BWH CARE COORDINATION at Brigham and Women's Hospital in Boston, Massachusetts

Job Description:

Description

GENERAL SUMMARY/OVERVIEW

The Care Transition Specialist completes administrative responsibilities related to care progression and care transitions along the continuum of care. They work collaboratively with nurse care coordinators, social workers, physicians, and other care team members. The Care Transition Specialist is responsible for acting as an advocate for patients and patient families and strives to support Brigham Health's aim for high quality care, high customer satisfaction, and optimal resource management.

1.Provides direct administrative support to the care team, patients, and patients' caregivers

a.Support the administrative tasks and communication related to post discharge care (e.g., the 4Next process, faxing to long term care facilities, follow-up appointments, etc.)

b.Performs administrative tasks to support the ordering of equipment, completion of forms, and medication authorizations

c.Distributes key forms and documents to comply with regulations (e.g., MOON, IM, etc)

d.Arranges all types of patient transportation under the direction of the care team

e.Participates in family meetings and interdisciplinary huddles to solicit and provide input related to their responsibilities

f.Completes administrative documentation under the direction of the care team

2. Collects, confirms and verifies key patient information (i.e., demographics, health care proxy, benefit verification, and patient preferences for pharmacy, VNA, etc)

3. Maintains knowledge and reference materials on key resources available to patients and patients' caregivers across the continuum

a.Acts as a knowledge resource for post acute care resources, included but not limited to, insurance requirements, facility attributes, contact information, etc.

b.Identifies and refers patients to community services (i.e. transportation, food programs, day programs, and financial programs)

c.Communicates, consults and collaborates with a wide range of social agencies, clinics, schools and courts under the direction of the care team

Working hours:

8a-430p; 8:30 a to 5; weekend rotation

Qualifications

1. 
   

   High School Degree or GED required.

   
   


2. 
   

   Preferred experience in hospital discharge planning, long term care facility, community health or utilization review.

   
   


3. 
   

   Associate's Degree or Bachelor's Degree preferred and health care experience, preferably in extended care facilities and community agencies.

   
   


4. 
   

   Bilingual preferred

   
   

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

1. 
   

   Interpersonal skills to interact effectively with various levels of staff, patients, families and community organizations. Must be able to participate effectively in an interdisciplinary team setting.

   
   


2. 
   

   Extensive knowledge of regulations, community organization, state and federal systems, medical terminology and levels of health care.

   
   


3. 
   

   Must be able to manage a variable workload with the ability to constantly change priorities. Requires ability to work proactively and independently.

   
   


4. 
   

   Requires basic typing and/or computer data entry skills, experience with personal computer and software desirable.

   
   


5. 
   

   Must be very flexible in a constantly changing environment.

   
   

WORKING CONDITIONS:

Works in a busy and, at times, stressful hospital/office environment. Must be able to work well independently and in a multi-disciplinary group. Must be flexible.

SUPERVISORY RESPONSIBILITY:

None

FISCAL RESPONSIBILITY:

None

EEO Statement

Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race,color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status.

Primary Location

:MA-Boston-BWH Boston Main Campus

Work Locations

:BWH Boston Main Campus75 Francis StBoston02115

Job

:Admin/Clerical/CustService-Other

Organization

:Brigham & Women's Hospital(BWH)

Schedule

:Full-timeStandard Hours:40

Shift

:Rotating

Employee Status

:RegularRecruiting Department:BWH Nursing / Patient Care Services

Job Posting

:Apr 13, 2021

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