Case Management Associate
Mass General BrighamAbout the role
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
Provides support to psychiatric triage clinicians with routine and regulatory clinical and administrative functions.Assist director as necessary
Essential Functions:
Supports the process of patient referrals and dispositions to several levels of care. The referral process includes entering clinical information into the referral system and managing the communications regarding acceptance and bed offer or denial with facilities; referrals, telephone with pre-referral information and to establish a start of care date; initiating the patient care referral paperwork
Supports the insurance authorization and continued stay process by making initial contact and obtaining insurance authorizations; submitting fax and online requests for continued stay authorization and monitors the decision from the payer.
Research available community resources at the request of the psychiatric triage clinicians.
Communication with central admissions team via Microsoft teams.
Performs other duties as assigned
Complies with all policies and standards
Does this position require Patient Care (indirect/direct)? Yes
Qualifications
Education
Associate's Degree Social Work required or
Bachelor's Degree Social Work preferred
Can this role accept experience in lieu of a degree? Yes
Experience
Clinical and/or community resource experience 1-2 years preferred
Knowledge, Skills & Abilities
Attention to detail.
Computer proficiency required Microsoft office applications preferred with ability to learn new software.
Highly developed communications and interpersonal skills, working with diverse population.
Work independently, be self-directed and contribute as a member of a team.
Anticipates challenges and develops and implements strategies for addressing them.
High level of service delivery Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.
Additional Job Details (if applicable)
Physical RequirementsStanding 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
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$22.35 - $25.28/Hourly
Grade
3
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