Shire Jobs

Job Description

The Program Coordinator works in collaboration and continuous partnership with chronically ill or “high-risk” patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach to:

• Promote timely access to appropriate care

• Increase utilization of preventative care

• Reduce emergency room utilization and hospital readmissions

• Increase comprehension through culturally and linguistically appropriate education

• Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)

• Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals • Increase patients’ ability for self-management and shared decision-making

• Provide medication reconciliation

• Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs

Qualifications

Education/ Licensure

Bachelor's degree, preferably in a health-related profession or combination of applicable experience and education.

1-3 years relevant experience in health care, patient navigation or related field preferred.

Skills & Experience

3-5 years? experience in clinical or community resource settings; Care coordination and/or case management experience is desirable

Evidence of essential leadership, communication, education, and counseling skills ? Proficiency in communication technologies (email, cell phone, etc.)

Highly organized with ability to keep accurate notes and records

Detail-oriented; consistently meets and tracks timelines and objectives

Experience with health IT systems and reports is desirable

Local knowledge about and connections to community health care and social welfare resources is desirable

Ability to speak a relevant second language is desirable

Core values consistent with a patient- and family-centered approach to care

Demonstrates professional, appropriate, effective, and tactful communication skills, including written, verbal and nonverbal

Demonstrates a positive attitude and respectful, professional customer service

Acknowledges patient's rights on confidentiality issues, maintains patient confidentiality at all times, and follows HIPAA guidelines and regulations

Proactively acts as patient advocate, responding with empathy and respect to resolve patient and family concerns, and recognizes opportunities for improvement to meeting patient concerns Proactively continues to educate self on providing quality care and improving professional skills

Physical Requirement

General Office Environment

Moderate Physical Activity (e.g., occasional to prolonged standing, lifting, bending, filing, typing, etc.)

Responsibilities

Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources, working to improve patients’ experience before, during and following engagement with the health system. Interacts with patients and caregivers as appropriate to ensure continuity of care, support adherence to care plans, and identify barriers that prevent adherence to care plans.

• Assists in closing care gaps through use of chronic disease and prevention registries by communicating with the patient and healthcare professionals.

• Schedule visits for high utilizer/risk patients to reduce avoidable hospitalization. • Schedule patients for an annual visit to address open documentation and quality gaps.

• Schedule specialist visits, procedures, and radiology appointments, as needed.

• Initiate and/or obtain pre-authorization and/or referrals as required • Assess patient’s unmet health and social needs

• Monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner, and facilitate changes as needed

• Create ongoing processes for patient and family/caregiver(s) to determine and request the level of care coordination support they desire at any given point in time • Facilitate patient access to appropriate medical and specialty providers

• Educate patient and family/caregiver(s) on how to navigate throughout the health system and about relevant community resources

• Facilitate and attend meetings between patient, family/caregiver(s), care team, payers, and community resources, as needed

• Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals

• Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs), and add these to the patient registry (or flag in EHR)

• 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 care coordination.

• Where deemed needed, may spend time helping practices with clinical workflows and dissemination of best practices

• Performs other duties as required

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

Compensation Statement

Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $62571.36 - $78000 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.