Care Transitions Patient Care Liaison-MSW-FT Days

Job Description

Care Transitions Patient Care Liaisons coordinate post-acute care 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 transfer of information between the patient and member agencies of the care team to ensure high quality transitions of care across inpatient and outpatient settings. They liaise between medical providers, patients, health insurance companies, and more. Patient Care Liaisons increase health literacy by educating patients on the importance of post-discharge care, preventative screenings and procedures, and chronic disease management. This position promotes a high level of patient satisfaction by identifying and helping to address barriers to high quality, patient-centered care.

Responsibilities

1. Facilitates timely access to primary care and specialty appointments by scheduling services related to post-acute care and chronic disease management. This includes addressing barriers to completing care with the patient's multidisciplinary team.
2. Advocates for patients who need assistance obtaining appropriate medical care.
3. Uses data reporting tools in the electronic medical record, other hospital information systems, and data provided by health insurance companies to coordinate the right care for the patient at the right time.
4. Serves as a member of the interdisciplinary care team by participating in hospital-based unit rounds to collaborate on the post-acute needs of patients. This includes bedside interactions with inpatients to verify patient information and preferences for post-discharge care.
5. Works with Admitting to ensure accurate and complete electronic medical records by updating patient demographics.
6. Educates patients in the areas of health promotion, disease prevention, and management of acute/chronic illnesses.
7. Educates providers and practice staff on role of Patient Care Liaison, improvement initiatives, and best practice implementation.
8. Identifies underlying systems problems or obstacles to the delivery of high levels of customer service and participates in continuous process improvement.
9. Participates in quality improvement and quality assurance activities, including creating new workflows.
10. Provides ongoing statistical and financial reporting of all service activities.
11. Participates in the development of other staff members.
12. Directs non-English speaking patients to providers conversant in their preferred language or facilitate the use of translation services.
13. Provides discharge summaries to non-Mount Sinai primary care providers.
14. May be required to perform other duties, including team cross-coverage, when assigned by manager.

Qualifications

• Associate?s degree required; Bachelor?s degree preferred
• 3 years in hospital setting with keen knowledge of patient-focused care, knowledge of hospital
• facilities, and policies and procedures
• High proficiency in computer systems, especially Epic
• Fluency in Spanish strongly preferred

Non-Bargaining Unit, RBE - CARE TRANSITIONS AND POPULATION HEALTH - WST, Mount Sinai West

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $28.49 - $34.43 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

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 Sinai's 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 - 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 patients' 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 "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.