Role Description As the Regional Director of Care Navigation, you will provide members with exceptional support by delivering high-quality, professional, and efficient service. You will also liaise with members and providers to assist in the coordination of care related to medical access complexities. A Day in the Life - Answer incoming calls and support members in scheduling appointments and accessing appropriate care. - Maintain open, continuous communication between members and providers. - Research accepting physicians or facilities based on plan design, member needs, and access barriers. - Partner closely with Account Management, Contracting, Advocacy, Pre-Neg, and TPA teams to resolve access issues. - Own the end-to-end member experience—from intake through resolution ensuring timely follow up, documentation, and clear next steps. - Make outbound calls to providers, clients, and partners to gather information, educate stakeholders, and provide updates. - Attend training and team meetings to stay current on workflows, tools, and plan updates. Duties & Responsibilities - Member Advocacy & Support - Deliver a high-empathy, member-first experience in every interaction. - Acknowledge frustration, build trust, and help members confidently navigate their benefits. - Explain open-network plans, reference-based pricing, and member benefits in simple, jargon-free language. - Own each case through resolution with proactive updates and follow-through. - Document all interactions thoroughly and accurately to ensure continuity of care, compliance, and quality. - Provider Communication & Problem Solving - Liaise professionally with providers to clarify plan details, payment processes, and network structure. - Navigate provider pushback with calm, respectful communication. - Identify accepting or RBP-friendly facilities and provide alternative options when needed. - Coordinate Single Case Agreements (SCAs) or escalations based on internal criteria. - Investigate delays or barriers that threaten timely care and act decisively to overcome them. - Operational Excellence - Follow established workflows, boundaries, and escalation protocols with precision. - Use internal research tools (OnPoint, PON, provider lookup systems) to verify provider options. - Prioritize inquiries based on urgency, member risk, and available details. - Collaborate across departments to establish processes that remove barriers to care. - Uphold compliance standards, including HIPAA and Department of Labor guidelines. - Maintain confidentiality of all sensitive information. - Clinical & Benefit Literacy - Understand key clinical terms, service types, and the implications of delays in care. - Confidently communicate around pre-authorization processes, diagnosis implications, and provider requirements—without crossing clinical boundaries. - Recognize scenarios requiring escalation due to potential impact on timelines or safety. Qualifications - High school diploma or equivalent required. - Foundational understanding of medical cost containment products (RBP, out-of-network, access coordination). - Knowledge of CPT codes, claims forms, or general medical insurance preferred. - Experience in healthcare navigation, patient access, medical office operations, insurance verification, case management, or high-emotion customer service environments strongly preferred. - Exceptional verbal and written communication skills. - Empathy, emotional resilience, and the ability to stay calm under pressure. - Strong judgment and ability to navigate sensitive or ambiguous situations. - Persistent, detail-oriented, and committed to accurate documentation. - Ability to manage multiple tasks simultaneously and adapt to frequent changes. - Skilled in problem-solving and anticipating member needs. - Bilingual (Spanish) preferred. Success Indicators - A successful Care Navigator consistently demonstrates: - High-quality member experience characterized by trust, clarity, and empathy. - Timely and accurate case documentation and workflow adherence. - Ability to professionally overcome provider resistance. - Strong cross-functional collaboration. - Sound judgment, composure, and reliability under pressure. - Ownership and follow-through on all assigned cases. Working Environment - Fast-paced, member-centric operations setting. - Frequent balancing of urgent inquiries, provider calls, and detailed research. - Highly collaborative environment with emphasis on communication, teamwork, and adaptability. - Culture built around mindfulness, problem-solving, and “outward mindset” principles. Benefits - 401(k) with matching - Dental insurance - Health insurance - Vision insurance - Health savings account - Paid time off Ready to apply? If this job sounds like a fit for you, then click on the ‘apply’ button below. Good luck!

• Provide OT interventions, including ADL/IADL strategies, equipment recommendations, and home modifications. • Use a collaborative, interdisciplinary approach to care and services. • Support a restorative approach to health, offering interventions, health coaching, and self-management support. • Utilize our digital platforms for care delivery, collaboration, documentation, and intervention.

• Provide individual and group psychotherapy for adults in our Mental Health IOP program • Develop and maintain person-centered, trauma-informed treatment plans • Conduct comprehensive mental health assessments and level-of-care determinations • Educate patients on diagnoses, treatment approaches, and symptom management to support insight and empowerment • Design and deliver engaging psychoeducational and skills groups focused on emotional regulation, coping skills, and mental wellness • Collaborate closely with psychiatrists, nurses, PRP, and fellow therapists to provide integrated mental health care

Title: Patient Care Associate-Medicine 14CD BWH Location: Boston United States Part time Job Description: Site: The Brigham and Women''s Hospital, Inc. 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 Summary Working under the direction of licensed personnel, assists patients with activities of daily living tasks such as bathing, dressing, and eating. Also assists with taking patients'' temperature, blood pressure, pulse, and respiration. Does this position require Patient Care? Yes Essential Functions-Performs vital signs, weights/heights, intakes, and outputs with accuracy and within established time frame and/or as requested. - Completes all documentation in the medical record as required. - Interacts with patients and their families effectively. - Helps patients with a number of basic hygiene tasks. This may include bathing and dressing patients, helping them use the toilet if needed, and feeding them. - Assist with helping patients turn and reposition themselves in bed as needed and help them move between the bed and a wheelchair if they use one. - Listens to any health concerns patients may have and report those concerns to the nurses. Qualifications Education High School Diploma or Equivalent preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Basic Life Support [BLS] - Generic - HR Only preferred Certified Medical Assistant [National Certification] - Generic - HR Only preferred Nursing Assistant/Patient Care Technician [National Certification] - Generic - HR Only preferred Experience Experience working in patient care/elder care 0-1 year preferred Knowledge, Skills and Abilities - Ability to understand and follow written and oral instructions. - Knowledge of medical terminology. - Strong patient/customer service skills. - Ability to lift up to 35 pounds. - Proficient in computer skills to work efficiently with electronic medical records. Additional Job Details (if applicable) Remote Type Onsite Work Location 75 Francis Street Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Rotating (United States of America) Pay Range $20.58 - $26.58/Hourly Grade 3 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.