Care Coordination Navigator for High-Risk Patients

Northwell; Village of New Hyde Park (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

Northwell Health in New Hyde Park, NY is seeking a Care Management coordinator to coordinate and participate in activities related to Care Management services for family members and caregivers.

You will work with the primary care team to manage panels, develop care plans for high-risk patients, and liaise with hospitals, specialists, and community resources to ensure patient-centered care.

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Salary details indicate base compensation determined by location and experience and may change in the future.

Responsibilities

• 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.

Skills

Motivational interviewing

Panel management

Care coordination

High-risk patient care

Community resources

Education

High School Diploma or equivalent

Job description

Northwell Health in New Hyde Park, NY is seeking a Care Management coordinator to coordinate and participate in activities related to Care Management services for family members and caregivers.

You will work with the primary care team to manage panels, develop care plans for high-risk patients, and liaise with hospitals, specialists, and community resources to ensure patient-centered care.