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Care Management Coordinator - Staten Island
Northwell
10 hours ago
Full-time
On-site
Melville, New York, United States
Social Worker
Job Description
Coordinates and participates in activities related to Care Management services
to family members and caregivers.
Job Responsibility
* Utilizes patient-centered motivational interviewing techniques to build
rapport and help patients improve their health.
* Supports the primary care team by providing panel management to decrease the
number of patients lost to care, non-compliant in follow up care or
disconnected from primary care. Participates in the development, maintenance,
and adjustment of individualized care plans for high-risk patients that
address both medical and social barriers to accessing care.
* Acts as a professional liaison between hospitals, primary care providers,
specialists, and community resources on behalf of patients to ensure
patient-centered care coordination.
* Identifies and tracks special populations, including high-risk patients and
other populations due for preventive or chronic care services.
* Identifies and tracks patients discharged from the inpatient service or the
emergency department.
* Uses team-based communication strategies to close the loop on referrals,
hospital follow-ups and any outstanding items identified in the patient's
care plan. Performs outreach activities in primary care sites, homes,
hospitals, and neighborhoods.
Job Qualification
* High School Diploma or equivalent required.
* 1-3 years of relevant experience, required.
* Bachelor's or Master's degree in relevant field strongly preferred.
* Health home or care management experience strongly preferred.
* NYS Driver's License strongly preferred.
* Bilingual Spanish, preferred.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of
potential base compensation that may be offered to a successful applicant for
this position at the time of this job advertisement and may be modified in the
future.When determining a team member's base salary and/or rate, several factors
may be considered as applicable (e.g., location, specialty, service line, years
of relevant experience, education, credentials, negotiated contracts, budget and
internal equity).
Coordinates and participates in activities related to Care Management services
to family members and caregivers.
Job Responsibility
* Utilizes patient-centered motivational interviewing techniques to build
rapport and help patients improve their health.
* Supports the primary care team by providing panel management to decrease the
number of patients lost to care, non-compliant in follow up care or
disconnected from primary care. Participates in the development, maintenance,
and adjustment of individualized care plans for high-risk patients that
address both medical and social barriers to accessing care.
* Acts as a professional liaison between hospitals, primary care providers,
specialists, and community resources on behalf of patients to ensure
patient-centered care coordination.
* Identifies and tracks special populations, including high-risk patients and
other populations due for preventive or chronic care services.
* Identifies and tracks patients discharged from the inpatient service or the
emergency department.
* Uses team-based communication strategies to close the loop on referrals,
hospital follow-ups and any outstanding items identified in the patient's
care plan. Performs outreach activities in primary care sites, homes,
hospitals, and neighborhoods.
Job Qualification
* High School Diploma or equivalent required.
* 1-3 years of relevant experience, required.
* Bachelor's or Master's degree in relevant field strongly preferred.
* Health home or care management experience strongly preferred.
* NYS Driver's License strongly preferred.
* Bilingual Spanish, preferred.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of
potential base compensation that may be offered to a successful applicant for
this position at the time of this job advertisement and may be modified in the
future.When determining a team member's base salary and/or rate, several factors
may be considered as applicable (e.g., location, specialty, service line, years
of relevant experience, education, credentials, negotiated contracts, budget and
internal equity).