Care Coordinator - Care Management

About the Role

Mount Sinai Health Partners (MSHP) is the management services organization developed to enhance the Health System’s implementation of population health initiatives—programs of care that enhance the patient experience and health status, improve the health of patient populations, and reduce utilization and healthcare costs. MSHP provides the infrastructure to support population health initiatives, including services such as care coordination, information technology, workflow optimization, physician engagement, and quality reporting.

The Department of Social Work Services leads MSHP Care Management, delivering essential short-term and long-term care management services for a diverse group of individuals under value-based contracts. The goal is to provide standardized care management to meet patients’ medical and psychosocial needs, increase quality, and reduce unnecessary healthcare costs.

Responsibilities

• Coordinate care and provide guidance, support, and education to patients as an integral member of the Care Management team.
• Collaborate closely with the patient’s care team to develop and implement a comprehensive care plan and associated interventions.
• Interact with patients and family caregivers to ensure continuity of care and identify and remove barriers preventing adherence to care plans.
• Utilize behavioral change modalities to coach patients and family caregivers on lifestyle changes that positively impact health.
• Provide health education related to symptom management and preventive care in consultation with the patient’s care team.
• Advocate to ensure patients receive necessary care and services.

Location

This position includes a hybrid model of on-site work, community-based home visits, and remote work. The on-site location is to be determined. Regular participation in individual and group supervisory meetings (both in-person and remote) is required.

Qualifications

• Bachelor’s degree.
• Commitment and passion for meeting patients where they are and engaging in community-based care service models.
• Healthcare and/or community-based experience working with diverse populations with complex chronic illness and/or behavioral health preferred.
• Proficiency in MS Office.
• Ability to learn hospital documentation and scheduling systems, as well as care coordination applications.
• Excellent oral and written communication skills, organizational skills, and comfort with advocacy.
• Ability to foster a supportive environment for patients and work collaboratively as part of a team.
• Bilingual (English/Spanish) preferred.
• Minimum of one year in current position.

About the Employer

The Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees across eight hospitals, over 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 by tackling complex healthcare challenges through innovation, research, and patient-centered care.

The Health System is consistently ranked among the top hospitals by U.S. News & World Report, including high "Honor Roll" status, and is recognized for excellence in geriatrics, cardiology, diabetes, neurology, orthopedics, pulmonology, rehabilitation, urology, and ophthalmology. The Icahn School of Medicine at Mount Sinai is a top recipient of National Institutes of Health funding.

Pay

The salary range for this role is $58,661 – $79,823.56 annually. Actual salaries depend on experience, education, and operational need and do not include bonuses, incentive pay, or other forms of compensation.