Ground breaking science. Advancing medicine. Healing made personal.
The Care Coordinator is responsible for coordinating care and guidance to primarily at-risk patients from diagnosis to survivorship. Uses evidence based research to formulate the plan of care and ensure that patients at risk are following their protocols. Documents outcomes and maintains database of patient QI initiatives and outcomes. Coordinates the appropriate resources and consult services to provide continuity of care and appropriate follow up plan of care. Communicates with all members of the healthcare team. Initiates appropriate patient teaching based on needs. Supports the patient in decision making, may assist in coordination of end of life care if necessary. Develops effective interpersonal relationships with patients and works collaboratively with the interdisciplinary care team to improve health outcomes. Utilizes internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate patients and form a care plan with specific health outcomes.
Roles & Responsibilities:
- Provides guidance for patients from diagnosis to survivorship. Patients at risk are referred to the Care Coordinator to ensure that patient receives comprehensive and quality care with appropriate follow up
- Initiates and documents patient interventions and referrals for data analysis
- Uses evidence based research to assist in care plan and to provide external parties with information regarding patient data
- May coordinate and assist patients to overcome any obstacles that may inhibit their care plan such as child care and transportation
- Document all initiatives with patients in database so can quantify for both QI initiatives and internal documentation support
- May work with Patient Navigators to ensure that benchmarks are met and reporting is completed in a thorough and timely fashion
- May supervise a team of Patient Navigators via chart review, face-to-face case discussions and performance reviews
- May work closely with MSH Security and New York City Police in any emergency situation where patient is not communicating or attending their treatment sessions
- Initiates and documents patient teaching based on assessment of needs
- Partners with families and patient care team and community resources to provide well-coordinated timely compassionate, exemplary, interdisciplinary care
- Initiates and performs ongoing review of policies related to services provided; Troubleshoots and updates as necessary
- Serves as resource for community based education, screening, symposiums, educational sessions, lectures, staff training, etc.
- Performs other duties as necessary
- Education: College degree in either Nursing, social work or other professional degree
- Experience: 1-3 years relevant experience in patient navigation preferred. Population specific experience very important. Excellent verbal and written communication skills to communicate effectively with patients, staff, visitors and vendors
- Ability to speak Spanish desirable
- Comfortable in working with an urban, minority, HIV+ population
Strength Through Diversity
The Mount Sinai Health System believes that diversity and inclusion is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize healthcare delivery together.
We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospitals, including Mount Sinai Beth Israel, Mount Sinai Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.