Care Coordinator

Westchester Medical Center Health Network; Town of Mount Pleasant (NY); On-site; USD 54,000 - 78,000; Full time

Job summary

Westchester Medical Center Health Network is seeking a Care Coordinator to manage patient populations by developing pathways to outcomes, defining resource use, and educating patients in coordination with providers.

You will advocate for patients, assist with diagnoses and treatment options, and coordinate care across hospital and external settings to improve outcomes.

Qualifications

• 2–5 years of clinical care coordination experience preferred.
• Experience with Patient Centered Medical Home (PCMH) initiatives.
• High school diploma or equivalent required; four-year degree preferred.
• Bilingual English/Spanish preferred but not required.
• Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint).

Responsibilities

• Assists patients through the healthcare system as advocate and navigator.
• Explains diagnoses, treatment options, and helps achieve best outcomes.
• Coordinates continuity of care with external organizations and facilities.
• Manages high-risk patients and those with multiple co-morbidities.
• Facilitates patient education on health, disease, medications, and lifestyle.
• Supports patient self-management and behavior modification interventions.
• Promotes clear communication within the care team and with clinicians.
• Facilitates medication management based on standing orders and protocols.
• Contributes to data collection, outcomes reporting, and quality improvement.

Skills

Care coordination

Patient advocacy

Education & counseling

Interpersonal skills

Education

High school diploma

Four-year degree preferred

Tools

Microsoft Office

Electronic health records

Job description

Job Summary

The Care Coordinator is responsible for managing the care of the patient population by developing pathways towards expected patient outcomes, defining appropriate resource utilization, providing proper education, and working in conjunction with the provider to set achievable goals for the patient.

Responsibilities

• Assists all patients through the healthcare system by acting as a patient advocate and navigator.
• Assists patients with understanding their medical diagnoses, treatment options, and achieving best outcomes.
• Coordinates continuity of patient care with external healthcare organizations and facilities, including the process of hospital admission, discharge, and referrals from the primary care provider to a specialty care provider.
• Manages high risk patient care, including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting.
• Facilitates patient education regarding health, disease, medications, and lifestyle modifications.
• Supports patient self-management of disease and behavior modification interventions.
• Conducts comprehensive, preventive screenings for patients and/or assists all support staff in daily patient interactions as needed.
• Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans and evaluating outcomes. Communicates emergent information to the clinician when issues arise between visits.
• Facilitates patient medication management based upon standing orders and protocols.
• Evaluates clinical care, utilization of resources, and development of new clinical tools, forms, and procedures.
• Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to the Patient-Centered Medical Home and quality improvement initiatives.
• Maintains a professional appearance and a clean, safe environment.
• Respects patients by recognizing their rights; maintaining confidentiality.
• Utilizes technology, including specialized software as applicable, to maximize productivity.
• Develops and maintains electronic files as necessary.
• Exhibits excellent interpersonal skills; provides customer service; assists other support staff as necessary; collaborates with all levels of internal leadership, management, and staff as well as outside clients, vendors, and other external parties.
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies.
• Other duties as assigned.

Qualifications/Requirements

Experience: Two (2) to five (5) years of previous clinical, care coordination, and/or case/disease management experience preferred. Experience with and/or extensive knowledge of Patient Centered Medical Home (PCMH) initiatives.

Education: High school diploma or equivalent required. Four-year degree from an accredited institution preferred.

Licenses / Certifications

Other: Bilingual (English/Spanish) candidates preferred, but not required.

Proficiency in Microsoft Office (Outlook, Word, Excel, and Power Point).

Physical Requirements

Physical Activity (please check one box):

• Sedentary Work (involves sitting most of the time, occasionally walking and standing; requires lifting no more than 10 pounds at a time and/or occasionally lifting or carrying objects).
• Light Work (involves lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds; requires moderate mobility to different work locations).
• Medium Work (involves substantial physical activity and mobility; and lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds).
• Heavy Work (involves some type of manual labor including operating heavy machinery/ equipment or physical labor; requires lifting no more than 100 pounds at a time with frequent lifting or carrying of objects weighing up to 50 pounds).