Care Coordinator UMP Job in Worcester, Massachusetts US
Care Coordinator UMP
Under the direction of the Manager for the Hospital Utilization Management Program (UMP) or designee the Care Coordinator is responsible for the coordination of an array of service needs of MassHealth Members to facilitate the discharge planning from hospitals rehab facilities and other 24 hour levels of care in conjunction with other service providers. The Care Coordinator works with other units in the Office of Clinical Affairs (OCA), other MassHealth Programs including but not limited to the Office of Long Term Care, the Office of Acute and Ambulatory Care, and the Office of Behavioral Health, as well as some of their vendors. The Care Coordinator also coordinates and collaborates with other state agencies and multiple external entities including hospitals and rehab facilities, advocacy groups, and other community based service providers to ensure an integrated approach to the care of the MassHealth member. The Care Coordinator is also responsible for the social service needs of members related to transplantation and other medical service which cannot be provided in-state. REQUIRED QUALIFICATIONS: Nurse with current license (RN) to practice in the Commonwealth of Massachusetts A minimum of five years of case management experience working in a health care or community setting Certification in Care Management desirable Strong knowledge of community based service programs Ability to establish productive working relationships at all level of the organization Ability to interpret appropriate regulations Ability to work independently and collaboratively Experience with Windows based systems, Word, and Excel Occasional travel within Massachusetts may be required