Population Health Clinical Coordinator -Physical Therapist - Mount Sinai Health Partners

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

Roles & Responsibilities:
  • Background

    Mount Sinai is one of the largest non-profit health systems in the U.S. with a strong reputation for quality of care and research/education. Our health system has ~40,000 employees working together to provide billions of dollars in high-quality care for millions of patients each year. 

    We are accelerating a transition to a business model focused on population health management – our goal is to keep entire communities healthy and out of the hospital. Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount Sinai. The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. 

    MSHP is a fast growing business unit within Mount Sinai and is looking for team members who:

    • Are comfortable “playing up” and “playing down” as needed to accomplish business objectives 
    • Work productively amidst ambiguity
    • Thrive in fast-paced work environments
    • Seek to improve the status quo 

    Role Summary

    MSHP seeks a Population Health Clinical Coordinator to assess patient care in the Skilled Nursing Facility (SNF), monitor patient outcomes and the appropriate/timely discharges back to the community. Responsible to review and evaluate PAC services provided to MSHP population. The Population Health Clinical Coordinator reports to a Nurse Clinical Manager. 


    Responsible for reviewing and evaluating post-acute care services provided to MSHP population
    • Identify on a daily basis, MSHP lives that are being serviced in SNFs
    • Conduct patient reviews, assess the plan of care and reinforce the goal LOS
    • Address and discuss potential discharge needs and barriers
    • Assure SNF providers are implementing care pathways and best practice

    Responsible for reinforcing quality and evidence based care in an effort to reduce cost, optimize therapeutic outcomes and improve quality of life for MSHP patients
    • Actively participates in clinical rounds, reviewing care plans with care providers
    • Identifies progress toward desired outcomes and intervenes to overcome deviation in expected plan of care
    • Generates quality improvement results
    • Refers cases with quality care concerns to the Senior Director of the Care Continuum

    Responsible for identifying potentially unnecessary services and care delivery settings, and recommends alternatives if appropriate, by analyzing clinical protocols
    • Functions as liaison between MSHP and the SNF
    • Actively participates in discharge planning
    • Focuses on inappropriate utilization of services while ensuring appropriate care is provided

    Responsible for the process of monitoring and evaluating the services and resources provided in response to a patient’s needs
    • Oversees data collection process
    • Reviews utilization patterns; identifies trends and problems




  • Qualifications 

    Education and Experience
    • PT licensure required
    • BS degree preferred
    • Two years of experience in Utilization Management
    • Two years of experience in home care
    • Excellent relationship management skill and non-aggressive assertiveness
    • Ability to problem solve
    • Computer literacy- Word, Excel, Power Point
Strength Through Diversity

The Mount Sinai Health System believes that diversity and inclusion is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize healthcare delivery together.
We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have an impact on quality patient care. 

Explore more about this opportunity and how you can help us write a new chapter in our story! 

Who We Are

Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospitals, including Mount Sinai Beth Israel, Mount Sinai Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation. 

EOE Minorities/Women/Disabled/Veterans


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