Strength Through Diversity
Ground breaking science. Advancingmedicine. Healing made personal.
Roles & Responsibilities:
ProjectDescription: LEAP (Liver Education & Action Program) at Mount Sinai aims toimprove the treatment of hepatitis C (HCV) infection in NYC. It is estimatedthat 146,500 NYC adults (2.4% of the NYC population) have chronic HCVinfection, which causes cirrhosis, end-stage liver disease, liver cancer, anddeath in 20% of infected persons. LEAP utilizes comprehensive care coordinationto assist medical providers in improving overall outcomes related to treatmentwhile reducing psychosocial and behavioral barriers to care.
The CareCoordinator will provide care coordination (case management, education,outreach, collaboration, and logistical support) to patients with chronichepatitis C, including patients co-infected with HIV or who have diabetes. Thecare coordinator will be responsible for providing guidance and support to theHCV patient as they navigate the HCV treatment process. A successful carecoordinator will build working relationships, solve problems, and connectpatients with onsite and community resources.
* Develop effective relationships with patients andtheir caregivers as well as the medical team to promote interdisciplinarycommunication, continuity of care, and adherence to patients' care plans
* Provide a central point of contact and escalateconcerns appropriately
* Collect all HCV-related data and input in timelymanner into program database; document encounters in electronic medical record
* Maintain all HCV-related databases (e.g. updatingdata daily, ensuring data security) that are required as part of the program
* Promote and monitor appointment adherence withappointment reminders and follow-up calls and letters
* Conduct brief alcohol, substance use, and mentalhealth screenings and/or interventions
* Administer pre-treatment readiness assessments toidentify potential barriers to treatment (e.g. using standardized instrumentsuch as PREP-C and/or reaching out to patient's primary care provider)
* Provide education on the natural history of HCV,prevention of transmission, evaluation, treatment, adherence, and side effectmanagement, as well as general healthy living, alcohol, and substance use
* Provide patients with referrals to internal andcommunity resources, including primary care providers, social services, mentalhealth and substance use resources, and support group
* Check in with patients after appointment with liverprovider for 5-10 minutes
* Assess how patient is doing (build rapport)
* Ask patient to clarify next steps
* Schedule follow-up appointments in real-time(e.g. ultrasound)
* Elicit fears and concerns
* Answer questions
* Work with any insurance issues and refer toon-site finance office or on-site social worker
* Work with pharmacies and providers to prepareprior authorizations for medications, order/deliver/dispense medications, andassess patient adherence to medications
* Provide adherence counseling and monitorpatient-reported side-effects via weekly calls, and report to provider asneeded
* Accept and coordinate in-house and outside HCVreferrals from liver providers, primary care physicians, and the LEAP linkageto care team
* Outreach previously screened HCV-positivepatients who have not been treated
* Schedule patients for all appointments includingfirst on-site HCV evaluation with on-site HCV specialist, treatment meetings,and follow-up appointments on-site and off-site
* Accompany patients to on-site or off-siteappointments when necessary
* Obtain outside medical records as needed
* Follow up on labs ordered by the HCV provider andreview results to complete evaluation
* Prepare and co-lead, with other carecoordinators, a monthly support group for HCV patients
* Organize and administer any program incentives(e.g. metro cards)
* Report to Program Manager
* Meet with Program Manager one-on-one
* Bi-weekly to case conference and go over anylogistical concerns
* Monthly to review data and case load
* Attend team meetings and contribute to casepresentations; participate in group case conferences, problem-solving, andprocess improvement discussions
* Attend on-site and off-site trainings as needed
* Potentially work with community partners todevelop and maintain HCV-related networks (e.g. syringe exchange program andCBOs)
* Other duties as needed
* A Bachelor of Science in Public Health, SocialWork, Biology, Psychology or an equivalent degree (minimum requirement); Master'sdegree preferred
* Have at least 4 years of experience in acommunity health role
* Social work background preferred
* Must possess knowledge of community resources andhealth care processes, structures, and functions
* Preferred bilingual (English and Spanish)
* Must possess knowledge and experience withpersonal computers, especially Microsoft Office Suite (Excel, Outlook, Access,Word, PowerPoint) and electronic medical records
* Strong interpersonal skills
* Must demonstrate ability to work effectively in ateam environment
* Must have excellent oral and writtencommunication skills
* Demonstrate independent judgment
* Willingness to take on new tasks as needed
Strength Through Diversity
The Mount Sinai Health System believesthat diversity is a driver for excellence. We share a common devotion todelivering exceptional patient care. Yet we're as diverse as the city we callhome- culturally, ethically, in outlook and lifestyle. When you join us, youbecome a part of Mount Sinai's unrivaled record of achievement, education andadvancement as we revolutionize medicine together.
We work hard to acquire and retainthe best people, and to create a welcoming, nurturing work environment whereyou can develop professionally. We share the belief that all employees,regardless of job title or expertise, can make an impact on quality patientcare.
Explore more about this opportunityand how you can help us write a new chapter in our story!
Who We Are
Over 38,000 employees strong, themission of the Mount Sinai Health System is to provide compassionate patientcare with seamless coordination and to advance medicine through unrivalededucation, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The MountSinai Health System combines the excellence of the Icahn School of Medicine atMount Sinai with seven premier hospital campuses, including Mount Sinai BethIsrael, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount SinaiQueens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St.Luke's, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is anequal opportunity employer. We promote recognition and respect for individualand cultural differences, and we work to make our employees feel valued andappreciated, whatever their race, gender, background, or sexualorientation.
Associated topics: clinical, clinical development, clinical informatics, clinical trial, coordinator, lab, laboratory, research, research coordinator