Case Management Associate
Mass General Brigham · Cambridge-MA
What the posting says
Each fact was read from this posting and checked:Statedin the posting, quotedConflictsposted two ways, both shownNot mentionedwe looked; it is not there
- PayStated
- $22.35–$26.58 an hourAbout $46,488–$55,286 a year at 40 hours a week (derived, not posted)
- Employment typeStated
- Full time
- Work arrangementStated
- On-site
- ShiftStated
- day
Work Shift Day (United States of America)
from the posting - ExperienceStated
- 0-2 years
- EducationStated
- ['associate degree', 'bachelor degree']
Not mentioned in this posting
We read the whole posting. These are not in it. Not a no: ask the recruiter, in your own words.
- Visa sponsorshipNot mentioned
- The posting does not say
Requirements, each with its sentence from the posting
These are the employer’s words. The index does not judge whether you meet them.
- Associate's Degree in Social Workrequired
Associate's Degree Social Work required
from the posting - Attention to detailrequired
Attention to detail
from the posting - Microsoft Office applications proficiencyrequired
Computer proficiency required Microsoft office applications preferred
from the posting - Software learning abilityrequired
with ability to learn new software
from the posting - Communication and interpersonal skillsrequired
Highly developed communications and interpersonal skills, working with varied population
from the posting - Independent work and teamworkrequired
Work independently, be self-directed and contribute as a member of a team
from the posting - Problem anticipation and strategy developmentrequired
Anticipates challenges and develops and implements strategies for addressing them
from the posting - Service delivery orientationrequired
High level of service delivery
from the posting - Initiative and prioritizationrequired
Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations
from the posting - Bachelor's Degree in Social Workpreferred
Bachelor's Degree Social Work preferred
from the posting - Clinical and/or Community Resource experiencepreferred
Clinical and/or Community Resource experience 1-2 years preferred
from the posting
Read the full posting as the employer wrote it
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
SummaryProvides support to case managers and clinical social workers with routine and regulatory clinical and administrative functions.
Does this position require Patient Care?
Yes
Essential Functions
-Supports the process of patient referral to SNF, home care, and outpatient. 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 to outpatient via SharePoint; and contacting home care agencies via 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 with the insurance CM to confirm contact information and to establish contacts between the payer and SRH CM; submitting fax and online requests for continued stay authorization and monitors the decision from the payer.
-Researches available community resources at the request of the CM or SW.
-Assists the CM, SW, patient and/or family with applications for community resources,
-Maintains a database for insurance-based processes, e.g. denials and appeals, Medicaid conversion requests and decisions.
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 and 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 varied 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 Requirements
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$22.35 - $26.58/Hourly
Grade
3
EEO Statement:
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.
The posting text is reproduced as the employer wrote it; the index adds nothing to it.