Utilization Management Transitions Of Care Coordinator

Mass General Brigham Health Plan Holding Company, Inc.

Base: $79,560.00 - $115,720.80/annual; bonus/equit...
Fully remote
2-3 years health plan clinical services experience
2-3 years clinical experience required
Massachusetts registered nurse license preferred
Mass General Brigham Health Plan is seeking a Utilization Management Transitions of Care Coordinator to streamline the transition processes between different levels of care for members. This fully remote position requires a background in clinical services or utilization management and emphasizes strong communication and analytical skills

Job Summary

  • This role serves as the single point of contact for facilities and providers to resolve barriers to obtaining the next level of care.
  • The position collaborates with Utilization Management, Appeal and Grievance, Care Management, and medical director teams to ensure timely transitional needs are met.
  • Employees enjoy competitive salaries, flexible work options, and a comprehensive benefits package within a welcoming environment at Mass General Brigham.

Matching Summary

Match Score: 85

Mass General Brigham Health Plan is seeking a Utilization Management Transitions of Care Coordinator to streamline the transition processes between different levels of care for members. This fully remote position requires a background in clinical services or utilization management and emphasizes strong communication and analytical skills.

Salary

Base: $79,560.00 - $115,720.80/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses

Skills & Requirements

Must-have

  • 2-3 years health plan clinical services experience
  • 2-3 years clinical experience required
  • Massachusetts Registered Nurse license preferred

Nice-to-have

  • Strong analytical and critical thinking skills
  • Excellent verbal and written communication abilities
  • Proficient in using electronic health records

Key Requirements

  • Associate's Degree Nursing or Bachelor's Degree Healthcare Administration
  • At least 2-3 years experience in utilization management
  • At least 2-3 years clinical experience required

Work Rights

Not specified

Tailored Resume

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