Mass General Brigham Health Plan is seeking a Utilization Management Transitions of Care Coordinator to facilitate smooth transitions for patients between different levels of care in a fully remote setting. The ideal candidate will have a background in nursing or healthcare administration, coupled with experience in clinical services or utilization management
Job Summary
This role serves as the single point of contact for facilities and providers to resolve barriers during member transitions of care.
The position tracks long-stay members and collaborates with Utilization Management and Care Management teams to ensure timely discharges.
Employees enjoy competitive salaries, flexible work options, and a supportive environment within one of the world's leading integrated healthcare systems.
Matching Summary
Match Score: 85
Mass General Brigham Health Plan is seeking a Utilization Management Transitions of Care Coordinator to facilitate smooth transitions for patients between different levels of care in a fully remote setting. The ideal candidate will have a background in nursing or healthcare administration, coupled with experience in clinical services or utilization management.
Salary
Base: $79,560.00 - $115,720.80/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package with flexible work options
Skills & Requirements
Must-have
2-3 years clinical experience required
2-3 years utilization management experience
Massachusetts RN license preferred
Electronic health records proficiency
Strong analytical and critical thinking
Nice-to-have
Excellent verbal and written communication
Detail-oriented with organizational skills
Ability to handle sensitive information
Interpersonal skills for stakeholder work
Experience with interdisciplinary meetings
Key Requirements
Associate's Degree Nursing or Bachelor's Healthcare Administration
At least 2-3 years in health plan clinical services