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Department of Social Services (MSH) - Req Number: 2340500
Job Title: Program Coordinator – Mount Sinai Health Partners
Mount Sinai Health Partners (MSHP) is the management services organization developed to enhance the Health System’s implementation of population health initiatives, that is, programs of care that enhance the patient experience and health status, improve the health of patient populations and reduce utilization and healthcare costs. Population health initiatives particularly focus on preventive care. MSHP provides the infrastructure to support population health initiatives and includes services such as care coordination, information technology, workflow optimization, physician engagement and quality reporting. The Department of Social Work Services takes a leadership role in MSHP Care Management (CM), which is providing in person and telephonic short-term and long-term care management services for a large diverse group of individuals who have a variety of insurances that are part of value based contracts. The goal of MSHP CM is to provide standardized care management services to meet patients’ medical and psychosocial needs, increase quality and reduce unnecessary health care costs.
This position reports to the Director of CM and its primary role is to provide oversight and supervision to CM staff, i.e. social workers and care coordinators, primarily in behavioral health practices, and to ensure alignment with the population health program outcomes in these practices. Some practices include Health and Recovery Plan (HARP) patients who are enrolled in a type of health plan to increase Medicaid recipients’ access to a benefit package of Home and Community Based Services for individuals with Serious Mental Illness and Substance Use Disorders. The PC may also oversee staff in primary/specialty care medical practices. This position requires collaboration with practice administrators, behavioral health and medical providers and interdisciplinary staff regarding psychosocial services related to population health initiatives. The PC is part of the CM leadership team and is expected to attend regular meetings with other PCs and administrators covering Mount Sinai Health System sites.
Social work and care coordinator staff is based in behavioral health and primary care medical practices and, in addition, provide services as part of Mount Sinai’s Health Home (HH). The HH is designed to serve Medicaid recipients who have high-cost and complex chronic conditions that drive a high volume of inpatient and ED episodes.
Significant experience providing care coordination and crisis management to at-risk populations with serious mental health illnesses and substance abuse.
Ability to provide leadership to staff in highly regulated service delivery systems.
Exceptional collaborative, organizational, communication skills to meet the challenges of complicated, evolving programs.
Exceptional skills in working with administrative and clinical leadership in program development and implementation.
Exceptional skills in engaging patients and families and in assessing and coordinating resources within families and hospital and community networks for effective management of patient care.
Hospital experience and experience with care coordination for a high-need Medicare (Fee for Service), Medicaid (Fee for Service and Managed) and the Medicare/Medicaid population preferred.
Strong interest in being part of an innovative initiative to improve the quality and cost of care.
Computer proficiency including ability to run/analyze reports in various data systems.