Patient Care Coordinator East Harlem

Compensation Range: $50000-$55000/annually commensurate with experience

Benefits:
We have three comprehensive healthcare plans to choose from based on your priorities and budget. Housing Works covers most of the plan; you pay a portion based on your salary. Staff begins accruing PTO immediately for a total of up to 30 days earned in the first year. We offer employees an educational benefit. This money is available for tuition loan reimbursement tuition costs and text books.

Overview: The Patient Care Coordinator will be responsible for the screening of patients including insurance verification to provide medical case management services for all Primary Care patients.

Key Responsibilities:

• Coordinate intake screenings to determine patient eligibility for ADHC OASAS Health Home RAD OMH PrEP and other relevant services.
• Work with the Intake Specialist to ensure PRAPARE assessments are completed during annual visits.
• Ensure new patient leads are generated in eICare.
• Administer PRAPARE assessments (Social Determinants of Health tool) and provide referrals for Primary Care clients including care coordination and case management referrals.
• Coordinate with the care management team for sub-specialty and other clinically related referrals for all Primary Care clients.
• Participate in bi-monthly one-hour interdisciplinary meetings and transcribe minutes for monthly one-hour Quality Improvement meetings.
• Document hospitalizations and schedule discharge appointments as needed.
• Collaborate with Program Partners and clinical/support staff to discuss client progress and referrals.
• Organize regular on-site meetings with case managers to review the status of dually enrolled clients.
• Maintain documentation of significant client progress and discussion points during morning huddle and other clinical.
• Participate in morning huddles and regular medical staff meetings including Quality Improvement initiatives.
• Work with the Nurse Manager (RN) to create pre-huddle sheets addressing patient follow-up needs.
• Document clinical interventions in Primary Care medical records.
• Coordinate with ancillary programs (e.g. OMH ADHC OASAS) to conduct client outreach activities.
• Serve as the primary point of contact for care coordination unless otherwise designated.
• Support and participate in advocacy efforts to combat homelessness and AIDS.
• Assist medical providers with necessary paperwork for clients including but not limited to: Transportation forms (2015 Form) Home Health Aide requests (M11Q Form) HASA Utilization Threshold and Restriction requests Non-clinical letters and verification documents
• Process paperwork as requested and ensure proper documentation in the Electronic Medical Record (EMR).
• Provide coverage for the Patient Service Representative as needed.
• Perform other duties as assigned by the Health Center Director or Clinic Operations Manager.
• Uphold and practice Housing Works core values: Membership All In Stronger Together and High Performance.
• Adapt to a fast-paced environment assisting in other roles as needed based on priorities.
• Manage local Medical Records Releases ensuring a 10-day turnaround for processing.

Job Requirements:

• Bachelors Degree preferred.
• Strong understanding of HIV/AIDS case management and entitlements.
• Ability to identify medical emergencies promptly notifying the appropriate medical and clinical personnel for assistance.
• Solid knowledge of Microsoft Office Suite.
• Solid knowledge of HIPAA regulations regarding medical document requests is required.
• Strong organizational and clinical skills are essential.
• Proficiency in Spanish and experience with Electronic Medical Record (EMR) systems are preferred.
• Ability to work flexible hours including 9 AM5 PM on non-late clinic days 11 AM7 PM on late clinic days and weekend shifts from 9 AM5 PM
• Preference for individuals with experiencing working in a community-based setting particularly with patients who are LGTBQIA and/or have experienced homelessness substance use and/or mental health challenges

Housing Works was founded in 1990; With a long-term commitment to AIDS advocacy. Housing Works established New York States first harm reduction-based OASAS-licensed outpatient drug treatment program. Other services include Health Home care management behavioral health and syringe exchange programs. A pioneer in the social entrepreneurship movement Housing Works operates 10 high-end thrift shops in Manhattan and Brooklyn and a much-loved Bookstore Cafe in Soho. For more information visit

Housing Works fights for funding and legislation to ensure that all people living with HIV/AIDS have access to quality housing healthcare HIV prevention and treatment among other lifesaving services.

Housing Works provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race color religion sex national origin age disability or addition to federal law requirements. Housing Works complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Housing Works also does not request prior salary information during the hiring process. This policy applies to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absence compensation and training.

Job candidates should be aware that scammers may pose as employers and create fake job postings in order to extract personal information from individuals for financial gain. Housing Works will never ask job candidates for personal information such as social security numbers or bank account details over the phone. If you suspect that a job posting may be fake or wish to confirm that a job posting from Housing Works is genuine please contact us at

Required Experience:

IC