Site: Newton-Wellesley Hospital

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:

The Care Transition Specialist completes administrative responsibilities related to care progression and care transitions along the continuum of care. They work collaboratively with nurse care coordinators, social workers, physicians, and other care team members. The Care Transition Specialist is responsible for acting as an advocate for patients and patient families and strives to support Newton Wellesley Hospital’s aim for high quality care, high customer satisfaction, and optimal resource management.
Essential Functions:

1. Provides direct administrative support to the care team, patients, and patients’ caregivers:
   a. Support the administrative tasks and communication related to post discharge care (e.g., the 4Next
   process, faxing to long term care facilities, follow-up appointments, etc.).
   b. Performs administrative tasks to support the ordering of equipment, completion of forms, and
   medication authorizations.
   c. Distributes key forms and documents to comply with regulations (e.g., MOON, IM, etc.).
   d. Arranges all types of patient transportation under the direction of the care team.
   e. May participate in family meetings and interdisciplinary huddles to solicit and provide input related
   to their responsibilities.
   f. Completes administrative documentation under the direction of the care team.

2. Collects, confirms, and verifies key patient information (i.e., demographics, health care proxy, benefit
   verification, and patient preferences for pharmacy, VNA, etc.)

3. Maintains knowledge and reference materials on key resources available to patients and patients’ caregivers
   across the continuum:
   a. Acts as a knowledge resource for post-acute care resources, included but not limited to, insurance
   requirements, facility attributes, contact information, etc.
   b. Identifies and refers patients to community services (i.e., transportation, food programs, day
   programs, and financial programs)
   c. Communicates, consults, and collaborates with a wide range of social agencies, clinics, schools, and
   courts under the direction of the care team

Qualifications:

Education:

• High School Degree or GED required.
• Associate’s Degree or Bachelor’s Degree preferred and health care experience, preferably in extended care facilities and community agencies.
• Preferred experience in hospital discharge planning, long term care facility, community health or utilization review.

Job Knowledge and Skills:

• Interpersonal skills to interact effectively with various levels of staff, patients, families and community organizations.
• Must be able to participate effectively in an interdisciplinary team setting.
• Extensive knowledge of regulations, community organization, state and federal systems, medical terminology and levels of health care.
• Must be able to manage a variable workload with the ability to constantly change priorities. Requires ability to work proactively and independently.
• Requires basic typing and/or computer data entry skills, experience with personal computer and software desirable.
• Must be very flexible in a constantly changing environment.

Additional Job Details (if applicable)

Physical Requirements- Standing Frequently (34-66%)

• Walking Frequently (34-66%)

• Sitting Occasionally (3-33%)

• Lifting Frequently (34-66%) 35lbs+ (w/assisted device)

• Carrying Frequently (34-66%) 20lbs - 35lbs

• Pushing Occasionally (3-33%)

• Pulling Occasionally (3-33%)

• Climbing Rarely (Less than 2%)

• Balancing Frequently (34-66%)

• Stooping Occasionally (3-33%)

• Kneeling Occasionally (3-33%)

• Crouching Occasionally (3-33%)

• Crawling Rarely (Less than 2%)

• Reaching Frequently (34-66%)

• Gross Manipulation (Handling) Frequently (34-66%)

• Fine Manipulation (Fingering) Frequently (34-66%)

• Feeling Constantly (67-100%)

• Foot Use Rarely (Less than 2%)

• Vision

• Far Constantly (67-100%)

• Vision

• Near Constantly (67-100%)

• Talking Constantly (67-100%)

• Hearing Constantly (67-100%)

Remote Type

Onsite

Work Location

2014 Washington Street

Scheduled Weekly Hours:

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$17.71 - $25.28/Hourly

Grade

3

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:

4100 Newton-Wellesley Hospital 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.