RN Care Facilitator, Ed BWH

Site: The Brigham and Women's Hospital, Inc.

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Job Summary The Emergency Department Care Facilitator (EDCF) proactively coordinates patient care in a fast-paced emergency department setting utilizing clinical assessment skills to identify patient needs, coordinate care, manage utilization, and support safe transitions of care while supporting patient flow and throughput from the emergency department. The EDCF serves as a key partner to ED physicians, nurses, the interdisciplinary team, and community partners and resources to support timely, appropriate care decisions.

• Collaborates with ED providers and care teams to assess patient needs upon presentation.

• Facilitates patient transfer of care and communicates care plans to referral sources, receiving providers, and support resources.

• Participates in the ongoing evaluation of practice patterns and systems, and supports efforts to improve quality, cost of care, and satisfaction outcomes.

• Mobilizes resources to maximize efficiency of care delivery and quality of care in accordance with regulations and hospital policy and procedures.

• Maintains a flexible work schedule to match availability to patient demand.

PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.

A. Care Facilitator

Coordinates and ensures implementation of the plan of care, utilizing case management principles

Participates in processes to facilitate transition of care and identifies opportunities for improved utilization of care delivery resources to meet patient needs.

Upon presentation to the ED, collaborates with the interdisciplinary care team to assess care needs and determine needs for discharge support and/or transition of care.

Presents alternative care delivery sites to ED providers, and the patient and family when appropriate.

Reviews patients past medical history and current treatment plan with ED providers to ensure optimal coordination and resource utilization.

Participates in ED patient rounds to identify and contribute to case finding opportunities for improved coordination of care and high-risk patient identification.

Communicates high risk patient’s needs and follow-up plans of care to community-based and/or hospital-based care coordinators.

Forms and maintains relationships with community-based providers to enhance transition of patient care between the ED and the community.

Incorporates knowledge of emergency medicine, utilization management, and community providers into patients' plan of care, and informs ED providers of implications and opportunities.

Assesses needs for continuing care in conjunction with patient’s family and/or caregivers.

Initiates contact with patient transfer and access department and/or other acute care hospitals, post-ED care facilities, and home health agencies to ensure prompt transitions of care.

Facilitates all discharge plans requiring post-ED care. Works in partnership with the ED social workers and staff nurses to facilitate transition of care.

Participates in decision to admit patients to determine appropriateness of admission and prevent unnecessary admissions.

Identifies patients who have or are likely to have unmet insurance needs and communicates with and/or makes referral to the ED social worker and/or appropriate departments and inpatient care coordination staff.

Investigates and recommends to ED providers alternative care delivery sites based on level of care and insurance benefits. Contributes to utilization and improvement efforts.

For all positions that include direct Patient care

No Direct Patient Adolescence (13-17 years)

All Age Groups x Young Adults (18-25 Years)

Neonates (Birth to 1 Month) Adult (26-54 years)

Infant (1 month to 1 year) Senior Adult (55- 64 years)

Early Childhood (12 months to 5 years Geriatric (65 years and up)

Late Childhood (6 to 12 years)

Qualifications

• Education: Graduate of an approved school of nursing with current registration in Massachusetts. For newly licensed nurses a Bachelor of Science Degree in Nursing is required.
• Knowledge and skills to differentiate levels of care required.
• Five years of previous acute care experience required, strongly preferred in emergency nursing.
• Two or more years experience in hospital utilization review preferred.
• Five years experience in an acute setting with discharge planning and knowledge of community resources required.
• Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on their assigned unit.

Knowledge, Skills and Abilities

• Bilingual (English/Spanish) preferred.
• Strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team.
• Strong organizational skill and ability to set priorities.
• Ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness and level of care.
• Knowledge and skills to differentiate levels of care.

Additional Job Details (if applicable)

Shift: 36hr variable rotation

Remote Type

Onsite

Work Location

45 Francis Street

Scheduled Weekly Hours

36

Employee Type

Regular

Work Shift

Rotating (United States of America)

Pay Range $41.71 - $105.65/Hourly

Grade MNA333

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

2200 The Brigham and Women's Hospital, Inc. 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 Veteran’s 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 (857)-282-7642.

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.