Utilization Management Transitions Of Care Coordinator

Brigham and Women's Faulkner Hospital

Base: $79,560.00 - $115,720.80/annual; bonus/equit...
Fully remote
2-3 years health plan clinical services experience
2-3 years direct clinical experience required
Strong understanding of levels of care continuum
Brigham and Women's Faulkner Hospital is seeking a fully remote Utilization Management Transitions of Care Coordinator to support the transition of patients between different levels of care. The ideal candidate will have a strong clinical background, experience in managed care, and excellent communication skills

Job Summary

  • This role serves as the single point of contact for facilities and providers when members require specialized support or face barriers to accessing the next appropriate level of care.
  • Candidates must demonstrate a strong understanding of levels of care across the continuum, including inpatient acute hospital care, step-down settings, and post-acute services.
  • The position offers competitive salaries ranging from $79,560.00 to $115,720.80 annually along with flexible work options and career growth opportunities within a not-for-profit organization.

Matching Summary

Match Score: 85

Brigham and Women's Faulkner Hospital is seeking a fully remote Utilization Management Transitions of Care Coordinator to support the transition of patients between different levels of care. The ideal candidate will have a strong clinical background, experience in managed care, and excellent communication skills.

Salary

Base: $79,560.00 - $115,720.80/Annual; Bonus/Equity: Not specified; Benefits: Competitive package with flexible work options and career growth

Skills & Requirements

Must-have

  • 2-3 years health plan clinical services experience
  • 2-3 years direct clinical experience required
  • Strong understanding of levels of care continuum
  • Proficient in electronic health records (EHR) systems
  • Knowledge of managed care authorization criteria

Nice-to-have

  • Excellent verbal and written communication abilities
  • Strong analytical and critical thinking skills
  • Ability to handle sensitive information confidentially
  • Experience navigating complex discharge planning scenarios

Key Requirements

  • Massachusetts Registered Nurse (RN) license preferred
  • Associate's Degree Nursing OR Bachelor's Degree Healthcare Administration
  • At least 2-3 years of experience in utilization management
  • At least 2-3 years of clinical experience required

Work Rights

Not specified

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