Care Coordinator
1 month ago
Job Title: Care Coordinator - Pediatrics Complex Care
The Care Coordinator is responsible for coordinating care and providing guidance to primarily low-risk patients. 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.
Responsibilities
- Works to provide and improve continuity to the patients experience before, during and following engagement within the health system. Interacts with patient and patient caregivers as appropriate to ensure continuity of care, patient adherence to care plans, and identifications of barriers preventing adherence to care plan.
- Gathers information regarding the individual patients needs by collaborating with members of the patients care team to assist in developing a comprehensive care plan.
- Monitors the patients goals and improvements in patients health outcomes with the care team.
- Assists care team to close care gaps through Epic chronic disease and prevention disease management registries by communicating with the healthcare professionals and informing them of the clients progress and potential concerns.
- Coordinates care with other members of the care team to overcome any identified financial or social barriers that inhibit patients medical care.
- Coaches patients, patient families, and/or authorized care givers on how to use existing skills and develop new ones to make lifestyle behavior changes that can positively affect patients health. Engages them in the use of MyChart, to facilitate electronic access of patients health care information.
- Communicates with external vendors to facilitate adherence to the care plan, such as transport companies, childcare facilities, durable medical equipment companies, legal and housing services, etc.
- Documents all patient encounters as appropriate in hospital documentation system and assists with the development of standardized reports on quality, utilization, processes and outcomes of the care coordination process.
- Educates patients regarding how to navigate throughout the health system.
- Performs other duties as required.
- Bachelors degree required, preferably in a health related profession.
- None required, some experience in healthcare or related field preferred. Bi-lingual candidates (English/Spanish) are highly desirable.
About Us
Strength Through Diversity
The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:
- Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
- Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
- Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.
Explore more about this opportunity and how you can help us write a new chapter in our history
"About the Mount Sinai Health System:
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism."
EOE Minorities/Women/Disabled/Veterans
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