Job Title

Job Description Population Health Patient Care Liaisons coordinate appointments and other healthcare services at Mount Sinai Health System facilities and external organizations to fit the specific needs of each patient. They facilitate the delivery of preventative care services, chronic disease management services, and medication adherence assistance. They liaise between medical providers, patients, health insurance companies, and more. Patient Care Liaisons increase health literacy by educating patients on the importance of preventative screenings and procedures, chronic disease management, and medication adherence. This position promotes a high level of patient satisfaction by identifying and helping to address barriers to high quality, patient-centered care. Qualifications Associate?s degree required; Bachelor?s degree preferred Non-Bargaining Unit, 9059 - Care Transitions & Population Health - STL, Mount Sinai St. Luke's Responsibilities Description of Competencies u2022 Facilitates timely access to primary care and specialty appointments by scheduling services related to preventive care and chronic disease management. This includes appointment reminders and addressing barriers to completing care in collaboration with the patientu2019s multidisciplinary team. u2022 Advocates for patients who need additional assistance obtaining appropriate medical care. u2022 Directs non-English speaking patients to providers conversant in their preferred language or facilitate the use of translation services. u2022 Educates patients in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses. u2022 Encourages medication adherence for chronic disease management by pending medication refills to providers, working with pharmacies to remove patient barriers to adherence, reminding patients to fill prescriptions, and connecting patients to financial resources for medication adherence. u2022 Partners with practice-based care team members like medical assistants, nurses, pharmacists, and supervisors to manage population health strategy for value based contracts through effective relationship building. u2022 Assists providers by pending orders in electronic medical record for labs, screenings, and referrals to support programs. u2022 Educates providers and practice staff on role of Patient Care Liaison, quality program guidelines, and best practice implementation. u2022 Serves as a liaison with health insurance companies, helping to maintain accurate provider patient panels and demographic information. This includes submitting reports to health insurance companies adhering to strict coding guidelines. u2022 Uses data reporting tools in the electronic medical record, other hospital information systems, and data provided by health insurance companies to execute a reminder system for immunizations and preventive services. u2022 Maintains accurate and complete electronic medical records by updating Health Maintenance and locating results of care delivered outside Mount Sinai Health System by obtaining patient consent and contacting external hospitals and providers. u2022 Identifies underlying systems problems or obstacles to the delivery of high levels of customer service and participates in continuous process improvement. u2022 Participates in quality improvement and quality assurance activities, including forming population health strategy and creating new workflows. u2022 Provides ongoing statistical and financial reporting of all service activities. u2022 Participates in the development of other staff members. u2022 May be required to perform other duties, including team cross-coverage, when assigned by manager. Experience and Skills Required u2022 High level of interpersonal skills and customer service required; must be comfortable dealing with a wide range of individuals including physicians, clinical and general staff, and the public u2022 High proficiency in computer systems, especially Epic and Microsoft Excel u2022 Fluency in multiple languages strongly preferred u2022 Identifies and understands issues, problems and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or developing appropriate solutions u2022 Logically and effectively structures tasks to work efficiently and meet deadlines u2022 Ability to manage multiple priorities simultaneously u2022 Critical thinking and problem solving abilities essential; must have ability to analyze a situation in order to facilitate an appropriate resolution of an identified problem u2022 Ability to organize and present information clearly and concisely u2022 Excellent organizational and time management skills with high attention to detail u2022 Ability to communicate professionally and effectively both verbally and in writing u2022 Demonstrates a humanistic, kind, and caring attitude in the delivery of health care u2022 Displays a professional, courteous, and respectful attitude in interactions with all members of the health system staff and extended community Professional Development u2022 Supports the mission, vision, values and goals of Mount Sinai Morningside and the Department of Care Transitions and Population Health u2022 Meets regulatory and annual health assessment requirements u2022 Evaluates own professional needs and utilizes opportunities for professional growth About Us Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinaiu2019s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time u2014 discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patientsu2019 medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high