Transplant Coordinator - Temporary BWH

Mass General Brigham•Boston, MA

2d•$79,560 - $115,721•Onsite

About The Position

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

Requirements

Associate's Degree Nursing required and/or Bachelor's Degree Healthcare Administration or related field of study required
Registered Nurse [RN - MA State License]
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.
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.

Responsibilities

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.