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Department of Social Work (MSH) - Req Number: 2516636
Job Title: Care Coordinator - Bilingual
New York State has designated the Mount Sinai Health Home Serving Children (MSHH-C) as a Manhattan Health Home serving the 0-21 year old population in the 5 boroughs. The Health Home includes Mount Sinai Beth Israel, Mount Sinai St. Luke’s, Mount Sinai West, Mount Sinai Hospital, Mount Sinai Queens, and their associated ambulatory practices, as well as a growing network of 14 community-based organizations and Volunteer Foster Care Agencies (VFCAs). The Health Home is designed to serve Medicaid/Medicaid Managed Care enrollees who have high-cost, complex chronic conditions, and Severe Emotional Disturbance (SED) that drive a high volume of high cost episodes. The Health Home, a patient-centered program, is a care management service model which aims, through improved care coordination and service integration, to control future health care costs and improve health outcomes for this population. The goal of Health Home care management is to treat the whole patient, including medical care, behavioral health care, and family and community support services. Specifically, the patient population includes (1) those living with HIV; (2) those living with two or more chronic medical conditions including the medically fragile; (3) those living with serious and persistent mental illness including SED; (4) those exposed to trauma and at risk.
The MSHH-C has expanded these services to include various pediatric practices and populations, e.g. GI, Cancer, Endocrine and Neurology. The Care Coordinator is partnered with a Social Worker(s) and is responsible for coordinating care and providing guidance to at risk patients, developing effective relationships with them and their family caregivers, and working collaboratively with the interdisciplinary care team to improve health outcomes.
• Bilingual (English/Spanish).
• Minimum of 2 years of relevant experience in healthcare or related field is required; experience with children and families is preferred.
• Ability to learn hospital ambulatory scheduling system, electronic medical record and new applications used for care coordination.
• Must have excellent oral and written communication skills and ability to foster a supportive environment for patients.