International Clinical Navigator

Site: Mass General Brigham Incorporated

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

Mass General Brigham International Patient Services strives to provide outstanding care and service to patients from around the world who travel to Boston for care. Reporting to the Executive Director the Clinical Navigator collaborates closely with staff physicians and patients to enhance the delivery of patient care services along the continuum of care. As part of a globally-oriented multicultural team the Clinical Triage Specialist works closely with team members to assess inbound inquiries for clinical appropriateness and to ensure clinical itineraries are delivered efficiently and expeditiously while continuously improving the patients experience. In tandem with the administrative team he/she assesses patients clinical journeys to maximize clinical impact with high sensitivity to the special needs of traveling patients.

Education

• Bachelors Degree Nursing or related field of study required

Experience

• 3-5 years of experience required in Clinical Documentation Improvement (CDI) specialist training including clinical coding knowledge.

• 2-3 years of experience required with chart reviews in electronic medical records clinical data supporting or leading work around quality and improvements and creating and/or presenting education material.

Knowledge Skills and Abilities

• Review medical records and treatment plans to ensure that they align with established guidelines and standards.

• Participates in department quality improvement initiatives.

• Reviews and applies analytical skills to designated patient population medical record documentation to assess the level of documentation accuracy and completeness.

• Provides clinician specific education regarding quality outcomes improvement documentation standards and actions to improve clinical processes.

Roles and Responsibilities:

• Elicits patient information from referring MD and outside facility nurse to allow appropriate triage and placement

• Facilitates referring physician callback for specific information

• Provides general information about the program and expertise available for both the medical and surgical services

• Attends patient progression and family meetings as requested

• Troubleshoots potential issues (referring physician patient) and collaborates with appropriate stakeholders

• Participates in departmental and organizational committees and programs as appropriate and attends all required meetings in-services and professional trainings

• Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients families staff and community health workers

• Consistently providers high-quality and timely documentation including abstracts letters of medical necessity and treatment plans.

• Discusses patient data with other physicians and professionals as appropriate in multidisciplinary setting

• Collaborates closely with with intake specialist and patient liaison to assess appropriateness of appointment requests and triage

• Assists in customizing care plans to meet the needs of each patient and ensure their timely implementation

• Regularly reviews with intake specialist and patient liaison the care plans for all ambulatory patients in Boston to ensure the most appropriate and time-efficient care

• Coordinates as appropriate with physicians and care teams across the system to ensure that all elements critical to the plan and trajectory of care have been communicated both internally and in tandem with liaisons/client relations ambassadors to the patient/family and members

• Documents in the medical record as appropriate as part of the Interdisciplinary team in accordance with the documentation standards

• Utilizes an interpreter when appropriate and incorporates awareness of patients cultural needs that may impact the plan of care

• Monitors the patients progress intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused and friendly high quality efficient and cost effective

• Collaborates as needed with the interdisciplinary team in the review/revision of the therapeutic plan to expedite and arrange post-acute care

• Assists patient liaison and care providers upon patient departure with appropriate care hand-off to in-country care teams

• Performs other duties as assigned

Hybrid

55 Fruit Street

40

Regular

Day (United States of America)

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework