Care Coordinator - Psychiatry Outpatient - MSH - Full Time/Days

The Care Coordinator is responsible for coordinating care and providing guidance to primarily low-risk patients. Develops effective interpersonal relationships with patients and works collaboratively with the interdisciplinary care team to improve health outcomes. Utilizes internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate patients and form a care plan with specific health outcomes.

1. Works to provide and improve continuity to the patients experience before, during and following engagement within the health system. Interacts with patient and patient caregivers as appropriate to ensure continuity of care, patient adherence to care plans, and identifications of barriers preventing adherence to care plan.

2. Gathers information regarding the individual patients needs by collaborating with members of the patients care team to assist in developing a comprehensive care plan.

3. Monitors the patients goals and improvements in patients health outcomes with the care team.

4. Assists care team to close care gaps through Epic chronic disease and prevention disease management registries by communicating with the healthcare professionals and informing them of the clients progress and potential concerns.

5. Coordinates care with other members of the care team to overcome any identified financial or social barriers that inhibit patients medical care.

6. Coaches patients, patient families, and/or authorized care givers on how to use existing skills and develop new ones to make lifestyle behavior changes that can positively affect patients health. Engages them in the use of MyChart, to facilitate electronic access of patients health care information.

7. Communicates with external vendors to facilitate adherence to the care plan, such as transport companies, childcare facilities, durable medical equipment companies, legal and housing services, etc.

8. 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 the care coordination process.

9. Educates patients regarding how to navigate throughout the health system.

10. Performs other duties as required.

• Bachelors degree required, preferably in a health related profession
• None required, some experience in healthcare or related field preferred. Bi-lingual candidates (English/Spanish) are highly desirable.

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.

We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance. We share the belief that all employees, regardless of job title or expertise contribute to the patient experience and quality of patient care.

 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 art