Mount Sinai Medical Center
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As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674‑bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not‑for‑profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way Our hardworking, tight‑knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department CC017410 Care Management
Job Description Summary Position Responsibilities
Identifies all patients needing a MOON or an initial IMM based on patient’s insurance coverage and admission status using the Epic work queues.
Explains the notices and answers questions to ensure patients understand their rights and responsibilities. Explains the right to appeal the discharge when appropriate.
Captures the patient’s or patient representative’s signature on all notices as necessary (including MOON, IMMs, Detailed Notices, Choice Letters, HINN).
Provides a follow up IMM and Choice Letter to patient or patient representative as requested by the care manager or social worker.
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal.
Upon completion of the discharge appeal, provides a HINN 12 if needed to notify patient of QIO’s decision.
Maintains regular communication with Social Workers, Care Managers, and Care Management Leadership.
Documents all patient and family interactions according to department policy.
Maintains positive interpersonal relationships and maintains a professional image by adhering to customer service standards in dealings with internal and external contacts, whether in person, by phone, or electronically; communicates to involved parties as appropriate on assigned duties and actions.
Demonstrates sufficient computer skills to perform job function. Checks voicemail and email as instructed by leadership and as warranted.
Participates in weekend rotation as required.
Willing and able to cover other areas in the department if needs arise.
Qualifications
License/Registration/Certification: Not Required
Education: High School Diploma or GED
Experience: 2 years health care experience preferred. Knowledge of care management functions.
Benefits
Health benefits
Life insurance
Long‑term disability coverage
Healthcare spending accounts
Retirement plan
Paid time off
Pet Insurance
Tuition reimbursement
Employee assistance program
Wellness program
On‑site housing for select positions and more!
Certification Degree Requirements:
Responsibilities
Core: Acts as a liaison between customers / patients, families and Hospital staff. Comforts assigned patients and families while attending the hospital services.
Core: Assists all customers / patients with communication needs (responds to requests and inquiries, informs the hospital staff of special requirements, provides site information or tours, responds to callers needing assistance, etc.).
Core: Assists customers / patients in the compliance of Hospital policies and procedures, providing information and referring them to the proper service required.
Core: Assists in the preparation of reports regarding tracking of activities for the assigned area(s).
Core: Communicates the customer / patients’ problems, questions, complains and concerns to appropriate staff members immediately.
Core: Complies with current Hospital security and safety polices.
Core: Follows up with customers / patients and the staff to ensure the timely and appropriate resolution of any issues or complaints.
Core: Maintains appropriate customer / patient employee confidentiality at all times as observed by the Supervisor.
Core: Promotes guest relations presenting a positive reflection of Mount Sinai to Physicians customers / patients, visitors and staff through a courteous and appropriate personal attitude.
Core: Reports incidents to supervisor and Risk Management department within required timeframe in accordance with medical center policy.
Job Specific: Captures the patient’s or patient representative’s signature on all notices as necessary (including MOON, IMMs, Detailed Notices, Choice Letters, HINN).
Job Specific: Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal.
Job Specific: Demonstrates sufficient computer skills to perform job function. Checks voicemail and email as instructed by leadership and as warranted.
Job Specific: Documents all patient and family interactions according to department policy.
Job Specific: Explains the notices and answers questions to ensure patients understand their rights and responsibilities. Explains the right to appeal the discharge when appropriate.
Job Specific: Identifies all patients needing a MOON or an initial IMM based on patient’s insurance coverage and admission status using the Epic work queues.
Job Specific: Maintains positive interpersonal relationships and maintains a professional image by adhering to customer service standards in dealings with internal and external contacts, whether in person, by phone, or electronically; communicates to involved parties as appropriate on assigned duties and actions.
Job Specific: Maintains regular communication with Social Workers, Care Managers, and Care Management Leadership.
Job Specific: Participates in weekend rotation as required.
Job Specific: Provides a follow up IMM and Choice Letter to patient or patient representative as requested by the care manager or social worker.
Job Specific: Upon completion of the discharge appeal, provides a HINN 12 if needed to notify patient of QIO’s decision.
Job Specific: Willing and able to cover other areas in the department if needs arise.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Hospitals and Health Care
#J-18808-Ljbffr
As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674‑bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not‑for‑profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way Our hardworking, tight‑knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department CC017410 Care Management
Job Description Summary Position Responsibilities
Identifies all patients needing a MOON or an initial IMM based on patient’s insurance coverage and admission status using the Epic work queues.
Explains the notices and answers questions to ensure patients understand their rights and responsibilities. Explains the right to appeal the discharge when appropriate.
Captures the patient’s or patient representative’s signature on all notices as necessary (including MOON, IMMs, Detailed Notices, Choice Letters, HINN).
Provides a follow up IMM and Choice Letter to patient or patient representative as requested by the care manager or social worker.
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal.
Upon completion of the discharge appeal, provides a HINN 12 if needed to notify patient of QIO’s decision.
Maintains regular communication with Social Workers, Care Managers, and Care Management Leadership.
Documents all patient and family interactions according to department policy.
Maintains positive interpersonal relationships and maintains a professional image by adhering to customer service standards in dealings with internal and external contacts, whether in person, by phone, or electronically; communicates to involved parties as appropriate on assigned duties and actions.
Demonstrates sufficient computer skills to perform job function. Checks voicemail and email as instructed by leadership and as warranted.
Participates in weekend rotation as required.
Willing and able to cover other areas in the department if needs arise.
Qualifications
License/Registration/Certification: Not Required
Education: High School Diploma or GED
Experience: 2 years health care experience preferred. Knowledge of care management functions.
Benefits
Health benefits
Life insurance
Long‑term disability coverage
Healthcare spending accounts
Retirement plan
Paid time off
Pet Insurance
Tuition reimbursement
Employee assistance program
Wellness program
On‑site housing for select positions and more!
Certification Degree Requirements:
Responsibilities
Core: Acts as a liaison between customers / patients, families and Hospital staff. Comforts assigned patients and families while attending the hospital services.
Core: Assists all customers / patients with communication needs (responds to requests and inquiries, informs the hospital staff of special requirements, provides site information or tours, responds to callers needing assistance, etc.).
Core: Assists customers / patients in the compliance of Hospital policies and procedures, providing information and referring them to the proper service required.
Core: Assists in the preparation of reports regarding tracking of activities for the assigned area(s).
Core: Communicates the customer / patients’ problems, questions, complains and concerns to appropriate staff members immediately.
Core: Complies with current Hospital security and safety polices.
Core: Follows up with customers / patients and the staff to ensure the timely and appropriate resolution of any issues or complaints.
Core: Maintains appropriate customer / patient employee confidentiality at all times as observed by the Supervisor.
Core: Promotes guest relations presenting a positive reflection of Mount Sinai to Physicians customers / patients, visitors and staff through a courteous and appropriate personal attitude.
Core: Reports incidents to supervisor and Risk Management department within required timeframe in accordance with medical center policy.
Job Specific: Captures the patient’s or patient representative’s signature on all notices as necessary (including MOON, IMMs, Detailed Notices, Choice Letters, HINN).
Job Specific: Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal.
Job Specific: Demonstrates sufficient computer skills to perform job function. Checks voicemail and email as instructed by leadership and as warranted.
Job Specific: Documents all patient and family interactions according to department policy.
Job Specific: Explains the notices and answers questions to ensure patients understand their rights and responsibilities. Explains the right to appeal the discharge when appropriate.
Job Specific: Identifies all patients needing a MOON or an initial IMM based on patient’s insurance coverage and admission status using the Epic work queues.
Job Specific: Maintains positive interpersonal relationships and maintains a professional image by adhering to customer service standards in dealings with internal and external contacts, whether in person, by phone, or electronically; communicates to involved parties as appropriate on assigned duties and actions.
Job Specific: Maintains regular communication with Social Workers, Care Managers, and Care Management Leadership.
Job Specific: Participates in weekend rotation as required.
Job Specific: Provides a follow up IMM and Choice Letter to patient or patient representative as requested by the care manager or social worker.
Job Specific: Upon completion of the discharge appeal, provides a HINN 12 if needed to notify patient of QIO’s decision.
Job Specific: Willing and able to cover other areas in the department if needs arise.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Hospitals and Health Care
#J-18808-Ljbffr