- Plays a lead role in the navigation of care and ensures that patients understand their overall program benefits as well as what they can expect the program to provide.
- Sets goals with patient and care team to coordinate care, documents goal in program dashboard/calendar tool. Follow ups to be tracked include visit status reminders, scheduled follow up and specialty appointments, authorization submitted for review.
- Ensures that all orders placed by the providers (internal and external) are authorized after confirming the service falls under the patients covered services.
- Services as the primary point of contact to education patients pharmacy benefits, and assist with obtaining prior authorizations when applicable
- Organizes correspondence and future program plans for the patient based on program interactions in the electronic medical record as well as in the program benefits systems. This involves ensuring that a plan is made with next steps in the process.
- Offers extensive patient navigation between program visits and other encounters. This includes detailed discussion with the patient to review next steps and resources, facilitation of patient concerns review, questions or concerns related to coverage.
- Educates and communicates closely with the patients to ensure they have a full understanding of the benefits offered by the program. Patient education provided on all relevant program benefits.
- Provides recommendations for process improvement and services improvement aimed at improving patient experience, and participates in ongoing pilot programs to improve patient engagement.
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Service Management Coordinator-MSH-Selikoff Centers for Occupational Health - New York, United States - Mount Sinai Medical Center
Description
The Services Management Coordinator plays a crucial role in the delivery of healthcare services for patients within the assigned area.
The Services Management Coordinator serve as liaison for patient care activities in specific program and ensures coordination of care around the course of the patient visit as well as subsequent patient interactions between visits.
The Services Management Coordinator is responsible for multiple components of care coordination within the program(s).Specifically, Services Management Coordinators are responsible for providing administrative assistance to our providers, nurses, medical directors, medical review and case management team.
ResponsibilitiesThis may include but is not limited to:
liaison with Physicians, Patients education
This may include:
Submitting refill request/confirm patients preferred pharmacies; verify coverage.
3 years' experience in healthcare/customer service or relevant experience.
Employer Description
Strength Through Diversity
The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care.
When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together.
We invite you to participate actively as a part of the Mount Sinai Health System team by:
We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance.
We share the belief that all employees, regardless of job title or expertise contribute to the patient experience and quality of patient care.
Explore more about this opportunity and how you can help us write a new 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 43,000 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 approximately 7,400 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 and top 20 in Cardiology/Heart Surgery, 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.14 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.The Mount Sinai Health System is an equal opportunity employer.
We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression.
We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve.
Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.
"EOE Minorities/Women/Disabled/Veterans
Compensation
The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements.
The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Service Management Coordinator-MSH-Selikoff Centers for Occupational Health professionals in New York City
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