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Changing health care
to improve quality of
life for all.

Beth Israel Lahey Health’s roots in providing top-quality health care date back nearly a century. We're fully committed to ensuring our patients receive the care they deserve. As a leading healthcare provider throughout New England, we aim to change the current state of health care for the better and make lasting improvements that guarantee access to our services.

Specialty Care Coordinator

Westwood, Massachusetts

Organization Facility: Beth Israel Lahey Health Performance Network Category: Payer Relations Job ID: JR66803 Date posted: 12/17/2024
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Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Non-Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The Specialty Care Coordinator identifies opportunities to better coordinate patient care, new initiatives and enhancements of existing processes. Will assist in managing escalations and working with patients, practice staff, providers and payors to keep care local, while focusing on timeliness and high quality care. The Specialty Care Coordinator works extensively via telephone, EMRs and other communication mechanisms, coordinating clinical information to secure needed clinical care, and ensure connection with established ongoing caregivers or specialists. Maintains strong relationships with BILHPN providers/provider practices and jointly develops standard triage guidelines for optimal transitions.

Job Description:

  • Hybrid / Remote Schedule

The Specialty Care Coordinator’s Responsibilities are:

  • Serves as a resource for the BILH system who can coordinate specialty care across BILHPN. Collaborates with employed and affiliated physicians and patients to secure timely and medically appropriate access to care within the BILH Performance Network.

  • Work with Medical Directors to educate PCPs and patients on in-network care and the BILHPN referral guidelines. Communicates access challenges and patient concerns to the Medical Directors as appropriate.

  • Registers and schedules appointments for patients with providers who can see the patient in a timely manner. Communicates back to patients all appointment details.

  • Appropriately documents referral outcomes to promote team awareness and ensure patient safety in accordance with department standards. Coordinates with the referral team on tracking program metrics as appropriate.

  • Collaborates with Referral Management leaders on program evaluation and improvement initiatives.

  • Ensures complete and accurate patient demographic and current insurance information.

  • Assemble information concerning patient’s clinical background and referral needs and provides appropriate clinical information to specialist.

  • Review details and expectations about the referral with patients.

  • Assist patients in problem solving potential issues related to health care systems.

  • Ability to address problems that are highly varied, complex and often non-recurring.

  • Identifies and utilizes cultural and community resources. Establish and maintain relationships with identified service providers (i.e. interpreter services).

  • Ensure that referrals are addressed in a timely manner.

  • Reduce misdirected referrals, helping patients get to the right providers.

  • Improve referral processes, reducing burdens on providers and staff.

Qualifications:

  • High school diploma and 10 years health care experience

  • Associate’s degree and 5 years health care experience

  • Bachelor’s degree and 3 years health care experience

  • Clinical experience a plus

  • Certificate/license in healthcare related field a plus

  • Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

  • Strong communication, both written and verbal

Schedule:

40 hours per week, Mon - Fri

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

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Why join Beth Israel Lahey Health?

If you’re looking for a career where you can make a difference and explore your potential, Beth Israel Lahey Health is the place you belong. Our system includes a network of hospitals, physician practices, outpatient centers, and other healthcare facilities and we offer a broad range of careers in direct patient care, environmental services, registration, finance and many other fields. We are focused on providing compassionate and personalized healthcare with a strong reputation for clinical excellence and research and offer diverse opportunities for career growth and development. Conveniently, we have many locations in communities across Eastern Massachusetts and Southern New Hampshire.

At Beth Israel Lahey Health, we see you for all that you are – your experience and your dreams. Explore our open opportunities and find out why so many have already chosen to join our team.

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