Case Review Coordinator - Faulkner

• Bachelor's Degree Nursing required
• 3 year of Utilization Review and Case Management experience preferred or 4 or more years of Utilization Review and Case Management experience preferred
• 5 years of Acute Care Nursing required or 6 or more of Acute Care Nursing preferred
• Staff adheres to all I C.A.R.E. Standards.
• Demonstrates knowledge, skills and abilities to work with various age groups in order to provide a safe discharge plan.
• Must be able to provide care for the patient despite psychosocial, educational, or physical disability.
• Basic computer skills, experience with Excel and Word, and good computation skills.
• Ability to interact and communicate within a diverse community.
• Competent in Utilization Review, appeals, the peer-to-peer process, and Case Management.
• Use critical thinking skills in all interactions and recognize the need to be solution-driven.
• Good negotiating skills with insurance companies and third-party payers.
• Performs all aspects of discharge planning to the right environment of care, timely.
• Proficient in the use of ECare.

Who We Are:

Brigham and Women's Faulkner Hospital is an affiliate of Mass General Brigham committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. We believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Brigham and Women's Faulkner Hospital is a 171- bed non-profit, community teaching hospital located in Jamaica Plain. Founded in 1900, Brigham and Women's Faulkner Hospital offers comprehensive care in a wide variety of specialties. We are a Magnet designated hospital, a recognition that fewer than nine percent of all US hospitals receive.We believe that everyone should have the chance to live a healthy life. From creating breakthroughs that have paved the way for treatments around the globe to training the next generation of providers, our patients are at the center of everything we do. If you're looking for more than a career, join Brigham and Women's Faulkner Hospital. Our patients call it better care. Our employees call it home.