Care Management Coordinator (NYC/Bronx)

Northwell Health; New York (NY); On-site; USD 60,000 - 85,000; Full time

Job summary

Northwell Health in NYC/Bronx seeks a Care Management Specialist to coordinate Care Management services for Health Home Plus. You will work with families and caregivers, applying motivational interviewing to improve health outcomes and care engagement.

The role involves panel management, care plan development, and collaboration with hospitals, primary care, and social services to address medical and social barriers to care.

Qualifications

• Bachelor's or higher in a relevant field is preferred.
• CASAC credential with experience strongly preferred or equivalent health services experience.
• Driver's license is strongly preferred in NYC location.

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 reduce loss to care and non-compliance.
• Acts as a liaison between hospitals, primary care, specialists, and community resources for patient-centered care coordination.
• Identifies and tracks high-risk populations and preventive/chronic care needs.
• Performs outreach in primary care sites, homes, hospitals, and neighborhoods to close gaps in care.

Skills

Motivational interviewing

Care coordination

Panel management

Communication skills

Relationship building

Education

Bachelor's degree in relevant field

Master's degree preferred

CASAC credential

NYS Driver's License

Job description

Job Description

Coordinates and participates in activities related to Care Management services to family members and caregivers. Health Home Plus is an intensive Health Home care management service established for defined populations with SMI (severe mental illness) who are enrolled in HHSA.

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 due to 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.
• A Credentialed Alcoholism and Substance Abuse Counselor (CASAC) and two (2) years of experience; OR A Bachelor’s degree or higher in ANY field with either: three (3) years of experience, or two (2) years of experience as a Health Home care manager serving the SMI or SED population, highly preferred.
• NYS Driver's License strongly preferred.
• Location: NYC/Bronx

*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).