Physical Therapy Navigator Pre/Post Surgical Optimization

Site: Mass General Brigham Community Physicians, 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

The Opportunity

This is an exciting opportunity to join the Mass General Brigham Population Health Services Organization (PHSO) as a Physical Therapy Navigator (PTN) focused on optimization of specific surgical episodes and outcomes.

The Physical Therapy Navigator will be part of a multidisciplinary team dedicated to provision of innovative, patient-centered care as part of the CMS Transforming Episode Accountability Model (TEAM). The PTN will assist with the coordination of care for TEAM patients, with the goal of facilitating an expected course of care from the pre-op phase through the post-acute care phase.

The Physical Therapy Navigator PTN will be responsible for the pre-operative clinical, functional, and social assessment utilizing the Risk Assessment and Prediction Tool (RAPT) and other assessment tools as indicated to ensure appropriate care pathway allocation. The PTN will collect, synthesize, and interpret data from established screening tools and outcome measures via virtual outreach. The PTN will collaborate with patients, provider offices, and other members of the healthcare team on the episode of care. The PTN will also collaborate with post-acute care providers (extended care facilities and home health services) on both projected and desired promotion of care plans in the post-acute phase.

Will be part of a multidisciplinary team dedicated to improving the patient experience preoperatively, through surgery and recovery at home. This will be done by supporting the coordination and transition of care between providers and promoting a successful recovery that can reduce unnecessary post-acute care utilization and readmissions.

Will assist with the coordination of care for the identified surgical patients, with the goal of facilitating an expected course of care from the pre-op phase through the post-acute care phase.

Responsible for the pre-operative clinical, functional, and social assessment utilizing the Risk Assessment and Prediction Tool (RAPT) to ensure appropriate care pathway allocation. Will collect, synthesize, and interpret data from established screening tools and outcome measures. Will collaborate with patients, provider offices, and other members of the healthcare team on the episode of care.

The Physical Therapy Navigator will also collaborate with post-acute care providers (extended care facilities and home health services) on both projected and desired promotion of care plans in the post-acute phase.

• Establishes therapy goals and formulates a treatment plan based on evaluation results after thorough Virtual Evaluation of home
• Provide initial assessment of clinical needs using standardized tools and protocols and facilitate recommendations for treatment.
• Record all pertinent data in the patient's medical records

Qualifications

What You'll Bring

• Doctor of Physical Therapy highly preferred
• Physical Therapist [MA State License] required
• Experience in an inpatient hospital setting, at least 5 years required
• Excellent interpersonal skills required.
• Ability to work independently with only general supervision.
• Exceptional attention to detail and ability to multitask.
• Ability to lead and accomplish tasks with a team
• Exceptional verbal and written communication skills.
• Excellent coach and strong motivator.
• Excellent problem solving, case management and communication skills.

Skills For Success

• Strong understanding of Physical Therapy strategy, progressive mobility, goals for early surgery recovery
• Excellent communication with patients, families, healthcare providers
• Desire to help elder populations through complex medical procedures and recovery
• Ability to build relationships in a multi-disciplinary team spread across multiple facilities, liaise with physician offices, health care teams, external agencies, patients + families
• Strong critical thinking to help identify key patient barriers for home recovery (home assessment, social and functional barriers)
• Proactive approach with respect to problem-solving and issue escalation
• Strong use of electronic medical record and digital tools
• Use of clear documentation and data collection best practices
• Ability to synthesize information and data into clear patient risk assessment (RAPT, FRAIL, chart review)

We are looking for passionate PTN with a desire to work with geriatric patient population, a desire to help support pre and post op surgical needs for patient to be successful at home. This team is expanding, we are innovative to support patients and provide home assessment virtually. The team program and model is being built out, goal is focused on progressive mobility for patient recovery at home. The PTN will be working hand in hand with APP and supported with various members of team to provide the best possible outcome plan for patient success.

Additional Job Details (if applicable)

Working Model/Location:

• Hybrid (planned onsite monthly at Assembly Row)
• Estimated 2-4 days monthly onsite, includes every other Tuesday, with some exceptions due to holiday cadence or other events.
• Remote work requires stable, secure, compliant quiet working station
• Virtual care model for thorough Virtual Home Assessment
• Must be flexible for training onsite as program expands, business needs will vary

Remote Type

Hybrid

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$89,398.40 - $130,000.00/Annual

Grade

7

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:

Mass General Brigham Community Physicians, 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 ....

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.