Population Health Clinical Coordinator - PT / OT – Mount Sinai Health Partners

Job Description



The Mount Sinai Health System

Population Health Clinical Coordinator (PT/OT)




Mount Sinai is one of the largest U.S. health systems with a strong reputation for quality of care and research.  We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients.


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


What We Offer


·         Opportunity for advancement within MSHP team

·         Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations

·         Opportunity for mentorship from senior MSHP leaders

·         Opportunity to be part of a forward-thinking team driving a system-wide transformation

·         Opportunity to work at the forefront of innovation in healthcare


The Clinical Operations Team within MSHP drives the implementation and ongoing improvement of clinical initiatives that enable Mount Sinai to deliver better value to its patients, its providers, its customers (i.e., plan sponsors and payers), and its partners. At Mount Sinai, value is defined broadly and encompasses improved health outcomes, more efficient operations, better patient experience, more joyful care team environment, and improved financial performance. Within MSHP, Post-Acute Care Team is responsible for improving the quality of care our patients receive from post-acute care providers and reduce the overall cost of care by transitioning patients safely back to the community.


Role Summary


MSHP seeks a Population Health Clinical Coordinator (PT/OT) to assess patient care in the Skilled Nursing Facility (SNF), monitor patient outcomes and the appropriate/timely discharges back to the community telephonically. This role is responsible for reviewing and evaluating Post-Acute Care services provided to MSHP population.  The Population Health Clinical Coordinator (PT/OT) reports to the Post-Acute Care Manager.


Job Responsibilities


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




Education and Experience

·         Graduate of an accredited Physical Therapy or Occupational Therapy program

·         Current New York State Physical Therapy or Occupational Therapy License

·         Minimum 2 years of experience in skilled nursing facilities and/or acute care settings

·         Experience in Utilization Management is a plus


Additional Skills and Qualities

·         Excellent relationship management skill and non-aggressive assertiveness

·         Ability to problem solve, organized and high-level of attention to detail

·         Computer literacy in EMR (Electronic Medical record) and Microsoft Suite (Word, Excel and PowerPoint)

·         Effective communicator with excellent written and verbal communication to communicate with medical staff and management

·         Demonstrated experience and record of consistently meeting and tracking timelines and objectives

·         Fluency in English


Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.


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


The Mount Sinai Health System is New York City's largest integrated delivery system, encompassing eight hospitals, a leading medical school, and a vast network of ambulatory practices throughout the greater New York region.  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.


Mount Sinai's vision is to produce the safest care, the highest quality, the highest satisfaction, the best access and the best value of any health system in the nation.  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.





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