Utilization Management Transitions Of Care Coordinator

621

United States
Base: $79,560.00 - $115,720.80/annual; bonus/equit...
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Managed care understanding
Utilization management criteria
Electronic health records proficiency
** The Utilization Management Transitions Of Care Coordinator position at Mass General Brigham Health Plan is a fully remote role focused on facilitating smooth transitions for patients between different levels of care within the healthcare system. The ideal candidate will have clinical experience, strong analytical skills, and a deep understanding of managed care and utilization management. **

Job Summary

  • This role serves as the single point of contact for facilities and providers to ensure streamlined transitions from one level of care to another.
  • Candidates must demonstrate a strong understanding of levels of care across the continuum, including acute hospital, step-down, and post-acute services.
  • The position offers competitive salaries, flexible work options, and career growth opportunities within a welcoming and supportive healthcare environment.

Matching Summary

Match Score: 75

** The Utilization Management Transitions Of Care Coordinator position at Mass General Brigham Health Plan is a fully remote role focused on facilitating smooth transitions for patients between different levels of care within the healthcare system. The ideal candidate will have clinical experience, strong analytical skills, and a deep understanding of managed care and 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

  • Managed care understanding
  • Utilization management criteria
  • Electronic health records proficiency
  • Inpatient to post-acute transition experience
  • Clinical analysis and critical thinking

Nice-to-have

  • Strong interpersonal communication skills
  • Experience with appeals and grievances
  • Ability to work in a remote environment
  • Collaborative team player mindset

Key Requirements

  • Massachusetts Registered Nurse (RN) license preferred
  • 2-3 years in health plan clinical services or utilization management
  • 2-3 years of direct clinical experience required
  • Associate's Degree in Nursing or Bachelor's in Healthcare Administration
  • Remote work eligibility in most US states

Work Rights

Not specified

Tailored Resume

Cover Letter