Outreach Liaison - Eldercare Program

Mount Sinai Medical Center•Hialeah, FL

About The Position

The Outreach Liaison produces and works enrollment leads generated within the Mount Sinai Medical Center health system. The role educates patients, families, and others about the PACE model of care and Eldercare program services, and invites eligible individuals to enroll in Mount Sinai Eldercare's health plan. The liaison works toward enrollment goals and develops plans with the Director of Business Development to promote the program. The position builds relationships with health system departments and referral sources, maintains accurate prospective account lists, tracks participants through enrollment, and serves as a liaison among patients, the health system, and Eldercare. The liaison accepts referrals, enters information into tracking systems and the EHR, supports enrollment and financial eligibility processes, coordinates timelines and paperwork, provides information to the interdisciplinary team, and prepares reports required by regulatory and government agencies. The role also participates in meetings and quality improvement activities and follows applicable laws, regulations, and organizational policies.

Requirements

BLS or CPR certification.
High school diploma or equivalent required.
At least one year of experience working with frail or elderly individuals.
Two years of sales or marketing experience in a health care setting is preferred; a combination of education and experience may be acceptable.

Nice To Haves

LPN, BSW, or bachelor's degree in a health care or marketing-related field preferred.
Education in geriatrics preferred.
Two years of sales or marketing experience in a health care setting preferred.

Responsibilities

Produce and work existing enrollment leads generated within the Mount Sinai Medical Center health system.
Educate patients, families, and others about the PACE model of care and Eldercare program services, and invite qualifying individuals to enroll.
Meet or exceed enrollment goals.
Initiate and maintain contact with health system departments and clinicians to promote the Eldercare (PACE) program directly to patients.
Develop annual, quarterly, and weekly plans with the Director of Business Development, including daily sales calls and staff and patient interactions.
Maintain an accurate account list of prospective referral sources and track participants through the enrollment process.
Attend and participate in Eldercare sales and enrollment meetings and other meetings as directed.
Act as a liaison among patients, the health care system, and Eldercare to resolve problems, provide service information, and maintain positive relations.
Maintain working knowledge of applicable laws, regulations, and Mount Sinai and Eldercare policies, including compliance, Fraud Waste and Abuse, and Code of Conduct requirements.
Accept referrals and enter information accurately and promptly into appropriate tracking methods and the EHR.
Provide timely information about new enrollees to the IDT and assist with a smooth enrollment process for participants and referral sources.
Participate in Interdisciplinary Team meetings when potential enrollees are assessed, providing or clarifying information obtained during enrollment as needed.
Communicate assessment and enrollment timelines and prospective participant status to the marketing and enrollment department, PACE leadership, and the IDT.
Assist with financial eligibility by reviewing Medicaid eligibility and helping prospective participants file Medicaid applications with supporting documentation.
Ensure enrollment paperwork is received by AHCA, DOEA, and Eldercare medical records staff by the appointed cutoff date.
Collect data and prepare reports in accordance with AHCA, DOEA, DCF, CMS, and other agency requirements.
Participate in the quality improvement program.