Transplant Coordinator - Temporary BWH

Partner's Healthcare; Boston (MA); On-site; USD 80,000 - 116,000; Full time

Benefits offered by this job

NULL

Job summary

Mass General Brigham Incorporated seeks a transplant coordination professional for a temporary 3-4 month assignment, with hospital option to extend or shorten based on needs. This role serves as the single point of contact for facilities and providers, coordinating transplant planning, utilization review, and follow-up while tracking members across lines of business.

You will collaborate with Utilization Management, Care Management, and medical director teams to support complex cases and ensure

Qualifications

• Associate's Degree Nursing or Bachelor's in Healthcare Administration required.
• Massachusetts RN license required.
• 2-3 years transplant management experience and 2-3 years clinical health plan/utilization management experience.

Responsibilities

• Ensure transplant coordination is holistic and end-to-end.
• Directly interact with providers, staff, members and advocates to gather clinical information.
• Review information and provide recommendations to the collaborative team.
• Track and monitor transplant-eligible members for full support and management.
• Coordinate communication between patients, healthcare providers and insurance entities.
• Obtain authorizations and maintain accurate transplant case files.
• Participate in interdisciplinary meetings to discuss complex cases and solutions.

Skills

Analytical

Communication

EHR proficiency

Confidentiality

Interpersonal skills

Education

Associate's Degree in Nursing

Bachelor's Degree in Healthcare Administration

Tools

EHR systems

Job description

Site: Mass General Brigham IncorporatedMass 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

This job is temporary with an expected duration of 3-4 months with hospital option to extend or shorten based on operational or clinical needs. The role is an integral part of our clinical coordination team, providing support to providers, facilities, and members to ensure streamlined end-to-end transplant coordination. This position will be the single point of contact for facilities and providers for members who require transplant support, planning, utilization review, and follow-up. This role will track all members across lines of business identified for the transplant program. The position collaborates with members of the Utilization Management, Care Management, and medical director teams to support transplant-specific needs.

Does this position require Patient Care? No

Essential Functions

• In conjunction with other team members, ensures that transplant coordination is holistic and managed from end to end.
• Directly interact with providers and their staff to obtain additional clinical information, as well as with members or their advocates to understand the full extent of the need to plan transplant activities.
• Review information and provide recommendations to the collaborative team based on analysis of the clinical material.
• Tracks and monitors the status transplant eligible members to ensure comprehensive support and management.
• Coordinates communication between patients, healthcare providers, and insurance companies regarding discharge needs.
• Obtains appropriate authorizations and tracks each member individually to ensure accuracy in the file and to provide the full support required to coordinate transplant activities.
• Participates in interdisciplinary meetings to discuss complex cases and recommend solutions.

Qualifications Education

Associate's Degree Nursing required and/or Bachelor's Degree Healthcare Administration or related field of study required

Can this role accept experience in lieu of a degree? No

Licenses and Credentials

Registered Nurse [RN - MA State License]

Experience

• 2-3 years' experience in health plan clinical services/utilization management required.
• 2-3 years Clinical experience required.
• 2-3 years transplant management expertise/knowledge required.

Knowledge, Skills and Abilities

• Strong analytical and critical thinking skills.
• Excellent verbal and written communication abilities.
• Proficient in using electronic health records (EHR) and billing systems.
• Detail-oriented with strong organizational skills.
• Ability to handle sensitive information with confidentiality and professionalism.
• Strong interpersonal skills to work effectively with various stakeholders.

Additional Job Details (if applicable)

Remote Type OnsiteWork Location 45 Francis StreetPay Range $79,560.00 - $115,720.80/AnnualGrade 7At 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.

EEO Statement

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.