Outreach Liaison - Eldercare Program

Mount Sinai Medical Center of Florida•Hialeah, FL

About The Position

The Outreach Liaison produces and works enrollment leads generated within the Mount Sinai Medical Center health system. The role meets with patients, families, and others to explain the PACE model of care and Eldercare program services, and invites eligible individuals to enroll in Mount Sinai Eldercare’s health plan. The liaison is expected to meet or exceed enrollment targets and to build relationships with health system departments and prospective referral sources. Working with the Director of Business Development, the liaison develops annual, quarterly, and weekly plans for sales calls and staff and patient interactions. The role tracks prospective referrals and participants throughout enrollment, accepts and records referrals in the appropriate tracking systems and EHR, supports financial eligibility and Medicaid applications, and coordinates enrollment information, assessments, deadlines, and required paperwork with program leaders, the interdisciplinary team, agencies, and medical records staff. The liaison also acts as a point of contact among patients, the health care system, and Eldercare; helps resolve issues and maintain positive relationships; participates in sales, enrollment, interdisciplinary, and quality-improvement meetings; prepares required reports; and maintains knowledge of applicable laws, regulations, and organizational policies.

Requirements

BLS or CPR certification.
High school diploma or equivalent.
At least one year of experience working with frail or elderly people.
A combination of education and experience may be acceptable.

Nice To Haves

LPN, BSW, or a bachelor’s degree in a health care- or marketing-related field; graduation from an accredited nursing or social work school is preferred.
Education in geriatrics.
Two years of sales or marketing experience, preferably in a health care setting.

Responsibilities

Produce and work existing enrollment leads generated within the Mount Sinai Medical Center health system.
Meet with patients, families, and others to educate them about the PACE model of care and Eldercare services and invite qualifying individuals to enroll.
Meet or exceed enrollment goals.
Initiate and maintain contact with relevant health system departments for direct-to-patient promotion of the Eldercare (PACE) program.
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 relationships.
Maintain working knowledge of applicable federal, state, and local laws and regulations and Mount Sinai and Eldercare policies and procedures, including compliance, Fraud, Waste and Abuse, and Code of Conduct requirements.
Accept referrals and enter information accurately and promptly into the appropriate tracking methodologies and EHR.
Provide timely information about new enrollees to the interdisciplinary team and assist as needed to ensure a smooth enrollment process and satisfaction 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 timelines, deadlines, and prospective participant enrollment status to the marketing and enrollment department, PACE leadership, and the interdisciplinary team.
Assist potential PACE participants with financial eligibility, including reviewing Medicaid eligibility and helping complete Medicaid applications and 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, other agency, and CMS requirements.
Participate in the quality improvement program.