Role Overview:
- Supports providers, facilities, and members to ensure a streamlined and timely transition between care levels.
- Serves as the single point of contact for facilities and providers when specialized support is needed.
- Tracks long-stay members and proactively supports movement to the next appropriate level of care.
Essential Functions:
- Tracks and monitors the status of long-stay inpatient/post-acute cases, ensuring timely discharge planning.
- Identifies trends and patterns in discharge barriers with facilities and providers.
- Coordinates communication between patients, healthcare providers, and insurance companies regarding discharge needs.
Qualifications:
- Associate's Degree in Nursing or Bachelor's Degree in Healthcare Administration or Related Field of Study required.
- Massachusetts Registered Nurse [RN] license required.
- At least 2-3 years of experience in health plan clinical services/utilization management required.
Mass General Brigham Health Plan Holding Company, Inc.
Mass General Brigham Health Plan is at the forefront of transformation with one of the world’s leading integrated healthcare systems. They provide members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.