Job 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. 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. This may include but is not limited to: liaison with Physicians, Patients education. 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. This may include: Submitting refill request/confirm patients preferred pharmacies; verify coverage. 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. Additional duties as assigned. Bachelor’s degree 3 years’ experience in healthcare/customer service or relevant experience. 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
