Psychiatry Resource Specialist - 40 hours (remote)

Lensa; Boston (MA); Remote; USD 45,000 - 75,000; Full time

Job summary

An established industry player is seeking a dedicated Psychiatry Resource Specialist to join their remote team. In this role, you will be instrumental in facilitating patient care transitions, working closely with clinical teams and external resources. Your strong analytical and communication skills will help ensure seamless coordination of care, making a significant impact on patient outcomes. This position offers a dynamic work environment where you can leverage your healthcare experience and make a difference in the lives of patients and families. If you are passionate about behavioral health and enjoy problem-solving, this opportunity is perfect for you.

Qualifications

• 1+ years of experience in healthcare with patient contact.
• Strong analytical and communication skills required.

Responsibilities

• Facilitating patient care transitions and coordinating discharges.
• Collaborating with clinical teams and documenting work in EMR.

Skills

Analytical Skills

Effective Communication

Knowledge of Insurance Plans

Coordination of Discharge Activities

Resourcefulness

Education

Healthcare Experience

Behavioral Health Experience

Tools

Electronic Medical Records (EMR)

Job description

Psychiatry Resource Specialist - 40 hours (remote)

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Our client, Children's Hospital Boston, is seeking a dedicated Psychiatry Resource Specialist. Apply via Lensa today!

Job Details

• Department: Patient Services-Nursing
• Status: Full-Time
• Hours per Week: 40
• Location: Remote (Waltham)

Job Posting Description

This Resource Specialist will be responsible for:

1. Working directly with clinical teams, payers, state agencies, behavioral health facilities, and community providers to facilitate patient care transitions safely and efficiently.
2. Collaborating with multidisciplinary team members and external resources to determine psychiatric level-of-care dispositions.
3. Completing psychiatric discharge planning tasks, including bed searches, referrals for partial hospitalization, in-home therapy, inpatient, CBAT, residential, and specialized clinics.
4. Assessing patient insurance plans and benefits, such as MassHealth eligibility, via electronic systems.
5. Documenting all work accurately in the electronic medical record.
6. Serving as a resource for families and clinicians regarding insurance coverage, benefits, and provider networks.
7. Participating in departmental hand-offs to ensure seamless care coordination.
8. Communicating resource, insurance, and payment information to patients and families.
9. Representing the Resource Specialist team on relevant committees and projects.
10. Securing initial authorizations following payer rules for BCH and external behavioral health facilities.
11. Reviewing clinical documentation to justify appropriate care levels and providing verbal presentations to payers if needed.
12. Providing updated clinical documentation for BCH boarder authorizations.
13. Serving as the primary contact for payers and state agencies to facilitate discharges.
14. Working remotely, Monday-Friday, 8:30 AM - 5:00 PM.

Qualifications

• At least 1 year of experience in a healthcare setting with patient contact; behavioral health experience preferred.
• Strong analytical skills to resolve problems using scientific, mathematical, or technical principles.
• Effective communication skills, both oral and written, with empathy in difficult interpersonal situations.
• Ability to coordinate discharge activities effectively.
• Knowledge of insurance plans and medical terminology.
• Experience with Electronic Medical Records and familiarity with the behavioral health continuum of care.
• Resourcefulness in locating and utilizing information resources.

Additional Details

• Seniority Level: Entry level
• Employment Type: Temporary
• Industries: IT Services and IT Consulting