Clinical Navigator, International Patient Services

Mass General Brigham (Enterprise Services); Boston (MA); Hybrid; USD 64,000 - 93,000; Full time

Job summary

Mass General Brigham International Patient Services seeks a Clinical Navigator to guide patients through the care continuum, collaborating with staff, physicians and patients to optimize clinical itineraries and patient experience. The role focuses on triage, information exchange, and coordinating care across the system for traveling patients.

The position requires nursing education and CDI/EMR experience, with a strong emphasis on communication, education, and multidisciplinary teamwork to

Qualifications

• Bachelor's Degree in Nursing or related field required.
• 3–5 years of CDI training with clinical coding knowledge.
• 2–3 years of chart reviews in EMRs and quality/improvement education materials.

Responsibilities

• Elicit patient information from referring MD and outside facility nurse to enable triage and placement.
• Facilitate referring physician callbacks for information.
• Provide information about program and expertise for medical and surgical services.
• Attend patient progression and family meetings as requested.
• Monitor patient progress and ensure high-quality, cost-effective care.

Skills

Review medical records

Quality improvement

Education delivery

Interdisciplinary collaboration

Education

Bachelor's Degree in Nursing

Tools

EMR systems

Job description

Site: Mass General Brigham Incorporated

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Mass General Brigham International Patient Services strives to provide outstanding care and service to patients from around the world who travel to Boston for care.

Reporting to the Executive Director, the Clinical Navigator collaborates closely with staff, physicians, and patients to enhance the delivery of patient care services along the continuum of care. As part of a globally oriented, multicultural team, the Clinical Triage Specialist works closely with team members to assess inbound inquiries for clinical appropriateness and to ensure clinical itineraries are delivered efficiently and expeditiously, while continuously improving the patient's experience. In tandem with the administrative team, he/she assesses patients' clinical journeys to maximize clinical impact with high sensitivity to the special needs of traveling patients.

Qualifications

Education

• Bachelor's Degree Nursing or related field of study required

Experience

• 3-5 years of experience required in Clinical Documentation Improvement (CDI) specialist training, including clinical coding knowledge.
• 2-3 years of experience required with chart reviews in electronic medical records, clinical data, supporting or leading work around quality and improvements and creating and/or presenting education material.

Knowledge, Skills and Abilities

• Review medical records and treatment plans to ensure that they align with established guidelines and standards.
• Participates in department quality improvement initiatives.
• Reviews and applies analytical skills to designated patient population medical record documentation to assess the level of documentation accuracy and completeness.
• Provides clinician specific education regarding quality, outcomes improvement, documentation standards, and actions to improve clinical processes.

Roles and Responsibilities:

• Elicits patient information from referring MD and outside facility nurse to allow appropriate triage and placement
• Facilitates referring physician callback for specific information
• Provides general information about the program and expertise available for both the medical and surgical services
• Attends patient progression and family meetings as requested
• Troubleshoots potential issues (referring, physician, patient) and collaborates with appropriate stakeholders
• Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services and professional trainings
• Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff and community health workers
• Consistently providers high-quality and timely documentation including abstracts, letters of medical necessity and treatment plans.
• Discusses patient data with other physicians and professionals as appropriate in multidisciplinary setting
• Collaborates closely with with intake specialist and patient liaison to assess appropriateness of appointment requests and triage
• Assists in customizing care plans to meet the needs of each patient and ensure their timely implementation
• Regularly reviews with intake specialist and patient liaison the care plans for all ambulatory patients in Boston, to ensure the most appropriate and time-efficient care
• Coordinates as appropriate with physicians and care teams across the system to ensure that all elements critical to the plan and trajectory of care have been communicated both internally and, in tandem with liaisons/client relations ambassadors, to the patient/family and members
• Documents in the medical record as appropriate, as part of the Interdisciplinary team in accordance with the documentation standards
• Utilizes an interpreter when appropriate and incorporates awareness of patient's cultural needs that may impact the plan of care
• Monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused and friendly, high quality, efficient, and cost effective
• Collaborates as needed with the interdisciplinary team in the review/revision of the therapeutic plan to expedite and arrange post-acute care
• Assists patient liaison and care providers upon patient departure, with appropriate care hand-off to in-country care teams
• Performs other duties as assigned

Additional Job Details (if applicable)

This role will split time between the Mass General main campus and the Brigham and Women's main campus.

Remote Type

Hybrid

Work Location

55 Fruit Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$63,648.00 - $92,570.40/Annual

Grade

6

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.