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Children's Hospital Boston Care Management Associate - General Surgery in Boston, Massachusetts

58593BRTitle:Care Management Associate - General SurgeryDepartment:Patient Services-Patient Care OperationsAutoReqId:58593BRStatus:Full-TimeStandard Hours per Week:40 Job Category:NursingJob Posting Description:At Boston Children’s Hospital, the quality of our care – and our inclusive hospital working environment – lies in the diversity of our people. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.

This Care Management Associate will support patients in our general surgery area.

This Care Management Associate will be responsible for:

  • Collaborating and communicating with multidisciplinary team members around the development of a discharge plan.

  • Assisting the case management staff in pre-admission planning and service set up for discharge planning.

  • Processing referrals for discharge planning including, but not limited to, skilled and private duty nursing, infusion and enteral therapy services, respiratory services, and transportation when needed.

  • Communicating with patients and/or family members as necessary to assist with information, providing literature, and direction to community resources.

  • Acting as a liaison with the relevant clinical groups (both inpatient and ambulatory) and developing linkages between these areas.

  • Coordinating post-discharge care, communicating with outpatient clinics, community resources, agencies, vendors and families around patients’ transitional care.

  • Working with insurances to obtain not only prior authorization approvals for medications but also for supplies, equipment and ambulance transportation.

  • Ordering durable medical equipment and faxing corresponding orders and necessary documentation as identified by the case manager.

  • Providing resource information, literature, and direction to community resources and maintaining community resources database.

  • Completing weekly scheduling and monthly department reports for case managers.

  • Providing data entry into hospital Electronic Medical Record (EMR).

  • Coordinating special projects as needed.

To qualify for this position you must have:

  • High School Diploma, or equivalent. Associates or Bachelor’s Degree preferred.

  • Minimum of 2 years administrative health care experience.

  • Previous experience with processing insurance authorizations and referrals is highly preferred.

  • Ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations.

  • Advanced experience using Microsoft Word, and Excel skills are essential and data collection, analysis, and leadership skills are a plus.

  • Diverse candidates are encouraged to apply.

This position is 100% remote. Candidates must live in MA, RI or NH to qualify.

Please note: During a public health emergency, individuals in this role may be expected to take on additional duties to respond to organizational needs.

Boston Children’s Hospital offers competitive compensation and unmatched benefits, including an affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, and discounted rates on T-passes (50% off). Discover your best.

Boston Children’s Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.

Office/Site Location:BostonRegular, Temporary, Per Diem:Regular

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