Coordinator Patient Care

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

Roles & Responsibilities

Patient Care Coordinator – Care Coordination Program


Care Coordination is a program based on the case management model that assists patients in accessing HIV care, communicating with providers, obtaining needed social services, and initiating or adhering to antiretroviral treatment while providing education and capacity building to help patients become self-sufficient.


The Patient Care Coordinator enrolls, regularly assesses, and provides ongoing support to Care Coordination patients in collaboration with the multidisciplinary clinic team through both direct patient service and supervision of the Community Health Advocates.


Job responsibilities include:

·         Supervising 3-4 Community Health Advocates (Patient Navigators) by supporting and monitoring completion of all responsibilities including appropriate and timely service delivery, health education delivery, case management, data entry, and tracking of patient progress;

·         Providing services for patients as needed, including health education, case management, and accompaniments to medical and social services appointments;

·         Identifying and enrolling eligible patients in collaboration with the interdisciplinary clinic staff;

·         Verifying patient eligibility and collecting relevant documentation;

·         Developing a patient-centered care plan in collaboration with the patient and their care team;

·         Completing the comprehensive intake assessment and biannual reassessments with all enrolled patients;

·         Conducting quarterly case conferences with each patient’s Primary Care Provider;

·         Participating in interdisciplinary collaboration;

·         Tracking each patient’s progress over time and communicating changes to the rest of the patient’s care team;

·         Maintaining patient charts;

·         Documenting all patient encounters in the Electronic Medical Record;

·         Performing data collection and data entry as required by the program funder;

·         Participating in Quality Improvement and Research initiatives as needed.


Applicants must have the following qualifications:

·         Bachelor’s degree or equivalent education or work experience

·         Interest in working with a high-needs HIV+ patient population

·         Ability to travel throughout New York City by public transportation and comfort with conducting home visits in all of the five boroughs

·         Computer skills

·         Exceptional interpersonal skills and cultural competency

·         High level of organization and attention to detail

·         Ability to manage a complex work schedule

·         Ability to supervise a team of 3-4 Community Health Advocates


Preferred qualifications include:

·         Spanish and English fluency

·         Master’s or other advanced degree in Social Work, health education, or a related field

·         4+ professional experience in a health-related or HIV-related program

·         4+ years of case management experience

·         2+ years of supervisory experience

·         Experience documenting encounters in a medical record


Description of the Institute for Advanced Medicine:

As part of the Mount Sinai Health System, the Institute for Advanced Medicine (IAM) is a newly integrated organization that will provide comprehensive, state-of-the-art treatment to patients living with HIV/AIDS. We unite the Health System’s outstanding physicians and staff from multiple disciplines into one integrated program that provides accessible, affordable, and expert primary and specialty care to HIV patients, and their friends and families throughout the New York metropolitan area. We have six fully integrated practice locations, so whether you are HIV positive or wanting to stay negative, we will help you.



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! 

Who We Are

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. 

EOE Minorities/Women/Disabled/Veterans


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