Facilitator Jobs

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RN Care Facilitator, Ed BWH

Mass General Brigham•Boston, MA
•$42 - $106•Onsite

About The Position

The Emergency Department Care Facilitator (EDCF) proactively coordinates patient care in a fast-paced emergency department. Using clinical assessment skills, the EDCF identifies patient needs, coordinates care, manages utilization, and supports safe transitions while promoting patient flow and throughput. The role partners with ED physicians, nurses, the interdisciplinary team, community partners, and other resources to support timely and appropriate care decisions. The Care Facilitator coordinates implementation of care plans using case management principles; assesses patient needs with the interdisciplinary team; identifies discharge support and transition-of-care needs; and helps arrange appropriate post-ED services. The role participates in patient rounds, identifies high-risk patients and opportunities for improved coordination, communicates follow-up plans to care coordinators, and maintains relationships with community providers. It also reviews medical history and treatment plans with ED providers, considers alternative care settings and insurance benefits, supports utilization improvement, and works with social workers and nurses on discharge planning. The position maintains a flexible schedule to match patient demand.

Requirements

  • Graduate of an approved school of nursing with current registration in Massachusetts.
  • For newly licensed nurses, a Bachelor of Science degree in Nursing is required.
  • Five years of previous acute care experience required; emergency nursing experience is strongly preferred.
  • Five years of experience in an acute setting with discharge planning and knowledge of community resources required.
  • Knowledge and skills to differentiate levels of care.
  • Ability to demonstrate knowledge and skills necessary to provide care appropriate to the ages of patients served on the assigned unit.
  • Strong clinical assessment skills.
  • Excellent interpersonal skills, including the ability to work collaboratively and cooperatively within a team.
  • Strong organizational skills and ability to set priorities.
  • Ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness and level of care.

Nice To Haves

  • Two or more years of hospital utilization review experience preferred.
  • Emergency nursing experience strongly preferred.
  • Bilingual English/Spanish preferred.

Responsibilities

  • Collaborate with ED providers and care teams to assess patient needs upon presentation.
  • Coordinate and ensure implementation of care plans using case management principles.
  • Facilitate transitions of care and identify opportunities to improve utilization of care delivery resources.
  • Assess needs for discharge support and transition of care with the interdisciplinary team.
  • Present alternative care delivery sites to ED providers, patients, and families when appropriate.
  • Review patients’ medical histories and current treatment plans with ED providers to support care coordination and resource utilization.
  • Participate in ED patient rounds to identify care coordination opportunities and high-risk patients.
  • Communicate high-risk patients’ needs and follow-up plans to community-based and hospital-based care coordinators.
  • Build and maintain relationships with community-based providers to support transitions between the ED and community.
  • Apply knowledge of emergency medicine, utilization management, and community providers to care plans, and inform ED providers of relevant implications and opportunities.
  • Assess continuing-care needs with patients’ families and caregivers.
  • Contact transfer and access departments, other acute care hospitals, post-ED care facilities, and home health agencies to support prompt transitions.
  • Facilitate discharge plans requiring post-ED care in partnership with ED social workers and staff nurses.
  • Participate in admission decisions to assess appropriateness and help prevent unnecessary admissions.
  • Identify patients with actual or likely unmet insurance needs and communicate with or refer them to social workers, appropriate departments, or inpatient care coordination staff.
  • Investigate and recommend alternative care delivery sites based on level of care and insurance benefits; contribute to utilization and improvement efforts.
  • Participate in evaluation of practice patterns and systems and support efforts to improve quality, cost of care, and satisfaction outcomes.
  • Mobilize resources to support efficient, high-quality care in accordance with regulations and hospital policies and procedures.
  • Maintain a flexible work schedule aligned with patient demand.

Benefits

  • Competitive base pay
  • Comprehensive benefits
  • Career advancement opportunities
  • Differentials, premiums, and bonuses as applicable
  • Recognition programs

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