Fertility Program Wait Time Coordinator and Patient

6 months ago

Toronto, Canada Sinai Health Full time

This is a Temporary Full Time position for 12 months

Sinai Health is a leading academic health science centre with a provincial, national and international reputation for discovering and delivering life-changing care. Since 2015, we have provided excellent and compassionate care in hospital, community and home. Comprised of Mount Sinai Hospital, Hennick Bridgepoint Hospital, the Lunenfeld-Tanenbaum Research Institute and our system partner Circle of Care, we translate scientific breakthroughs, push boundaries for health solutions, and educates future clinical and scientific leaders.

Reporting to the Clinical Director. This role a key facilitator in managing the overall processes for Sinai Health related to Ontario Fertility Program, a key funded program that generates money for the hospital with supported volumes for fertility treatments. This will include managing a wait time list, calling patients to pull them in or re-evaluate their ability to proceed with treatment in collaboration with the multidisciplinary team. They also submit eligibility claims and communicate back to patients their status. Using standardized tools, this person will track their progress, contribute to BORN data, and help the patient understand what their next steps are in their fertility journey.

While ensuring timely, accurate and accessible information on the status of use of OFP funding, this role will support the Clinical Director to manage and support funded volumes, ensuring timely access to care for Sinai Health’s patients. The other significant aspect of the role is patient navigation and to help patients orient themselves to the sometimes complex fertility journey. This individual will act as a liaison to patients, answer questions, directing them to available resources.

**Responsibilities**:

- Work with teams to optimize accuracy to ensure that data proves reliable and usable to facilitate operational planning of IVF, IUI, FET and other funded procedures as part of the Ontario Fertility Program
- Manage waitlists for Funded IVF procedures and pull in patients for treatment
- Liaise with MD team, secretaries to provide updates on patient status on the waitlist, ensure patients are seen in an expeditious manner to prevent treatment delays
- Submission of eligibility claims and Remittance Advice Inquiries to the Ministry of Health
- Engage in peer benchmarking for initiation of best practices
- Support patients in their fertility journey, helping them navigate common diagnostic testing, success/failure of treatment, demonstrating sensitivity and caring to patients at various stages
- Maintain and perform monthly stats to ensure we hit funding targets
- Ensure timely documentation in patient’s chart re: funding/patient discussions or choices related to funding, barriers to patients being ready for treatment
- Review wait list entries daily for relativity in volume projections and utilizations of procedures
- Ensure accuracy in clinical target assignments, capture system delays and ensure report accuracy prior to submission to senior leadership and provincial reporting
- Oversee the resolution process and monitoring resolution status; act as the single point of contact for the OFP Funding status
- Prepare routine and ad-hoc reporting for senior management and executive leadership to support operations and initiatives
- Prepare briefing notes and reports; prepare and participate in the delivery of presentations to sponsors, stakeholders, committees and advisory groups
- Determine and assesse root cause issues to challenges in processes and data capture, implementing sustainable solutions
- Promote a collaborative, team-based approach to problem solving that supports evidenced-based decision-making with clinical and corporate teams
- Assist in the development of policies and procedures related to review of utilization, reporting processes efficiencies, and the maintenance of high data quality
- Cross coverage of related non-unionized roles within the administrative team, when required
- Professional and ethical responsibility to protect privacy and maintain the confidentiality
- Complete other duties related to the position as required
- Job Requirements- Successful completion of a bachelor’s degree in a relevant discipline (e.g., health administration, nursing etc.) from a recognized educational institution, or diploma and equivalent relevant experience will be considered
- Solid knowledge of clinical processes with a minimum of three (3) years of relevant fertility experience, preferred
- Sound knowledge of the fertility journey, various treatment protocols and resources available to patients
- Advanced Microsoft Office skills, particularly Excel and PowerPoint
- Demonstrated strategic thinking and creative problem-solving skills
- Highly analytical with strong presentation and communications skills (written and verbal) with demonstrated attention to detail
- Excellent interpersonal and relationship building skills;

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