Bilingual Care Transitions Specialist

Mount Sinai Health System; New York (NY); On-site; USD 43,000 - 45,000; Full time

Job summary

Mount Sinai Health System is seeking a Care Transitions Patient Care Liaison to coordinate post-acute care appointments and related services across Mount Sinai facilities and external organizations. The role ensures smooth information transfer among patient, care teams, and insurers to meet each patient’s needs.

The position emphasizes educating patients on post-discharge care, preventive screenings, chronic disease management, and addressing barriers to high-quality, patient-centered care.

Qualifications

• Associate’s degree required; Bachelor’s degree preferred
• 3 years in hospital setting with keen knowledge of patient-focused care, knowledge of hospital facilities, and policies and procedures
• High proficiency in computer systems, especially Epic
• Fluency in Spanish strongly preferred

Responsibilities

• Facilitates timely access to primary care and specialty appointments by scheduling services related to post-acute care and chronic disease management. This includes addressing barriers to completing care with the patient’s multidisciplinary team.
• Advocates for patients who need assistance obtaining appropriate medical care.
• Uses data reporting tools in the electronic medical record, other hospital information systems, and data provided by health insurance companies to coordinate the right care for the patient at the right time.
• Serves as a member of the interdisciplinary care team by participating in hospital-based unit rounds to collaborate on the post-acute needs of patients. This includes bedside interactions with inpatients to verify patient information and preferences for post-discharge care.
• Works with Admitting to ensure accurate and complete electronic medical records by updating patient demographics.
• Educates patients in the areas of health promotion, disease prevention, and management of acute/chronic illnesses.
• Educates providers and practice staff on role of Patient Care Liaison, improvement initiatives, and best practice implementation.
• Identifies underlying systems problems or obstacles to the delivery of high levels of customer service and participates in continuous process improvement.
• Participates in quality improvement and quality assurance activities, including creating new workflows.
• Provides ongoing statistical and financial reporting of all service activities.
• Participates in the development of other staff members.
• Directs non-English speaking patients to providers conversant in their preferred language or facilitate the use of translation services.
• Provides discharge summaries to non-Mount Sinai primary care providers.

Skills

Spanish fluency

Education

Associate’s degree

Bachelor’s degree

Tools

Epic

Job description

Mount Sinai Health System is seeking a Care Transitions Patient Care Liaison to coordinate post-acute care appointments and related services across Mount Sinai facilities and external organizations. The role ensures smooth information transfer among patient, care teams, and insurers to meet each patient’s needs.

The position emphasizes educating patients on post-discharge care, preventive screenings, chronic disease management, and addressing barriers to high-quality, patient-centered care.