Clinical Care Coordinator (FGP) - Manhattan, Medicine-Cardio, Part Time

NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge. For more information, go to med.nyu.edu, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, X and Instagram. Position Summary: We have an exciting opportunity to join our team as a Clinical Care Coordinator (FGP) - Manhattan, Medicine-Cardio, Part Time. In this role, the successful candidate This position is responsible for care coordination across the continuum of health care delivery with emphasis on services incurred outside the inpatient hospital setting. Care coordination includes assessing healthcare needs, identifying problems and opportunities for improvement, implementing interventions, managing the patient care transition process, assisting patients throughout care episodes, coordinating and facilitating care for patients with complex and chronic conditions, and promoting evidence based healthcare services. This position provides services to support expected program outcomes of reduced admissions/readmissions, reduced emergency department visits, improved medication compliance, reduced gaps in care, improved patient care coordination, and increased patient satisfaction with the health care experience. The individual in this position serves as a clinical liaison, and must demonstrate awareness and recognition of the plan of care across the continuum in order to direct patient care issues. This position also provides clinical leadership for patient care coordination that is consistent with the philosophy and goals of the institution, the NYUPN Clinically Integrated Physician Network and the Network Integration Department. The position must foster and work in collaboration with internal and external providers, other NYULMC staff and payers to ensure the achievement of high quality outcomes for patients/families. Job Responsibilities: Provide care coordination for patients as assigned, and comply with associated policies and procedures and contractual requirements. Meet all other expectations and responsibilities of the program/initiative agreement as related to care coordination. Initiate/maintain professional development plan including goals for self-improvement and to sustain clinical and NYULH competencies; attend and participate in program/initiative teleconferences, program enhancement trainings and meetings, as required. Assist with orienting and training team members (New hires/interdepartmental initiatives) as requested. Participate in the development, promulgation, and implementation of care coordination process standards relevant to service scope. Act as a professional role model to all levels of staff by considering the needs and behaviors of specific patients in a culturally competent manner and incorporating expertise, critical thinking and related experience in care of patients and families Oversee and monitor activity by other staff members as related to his/her assigned patients to ensure compliance with associated policies and procedures and timeliness of completion. Use the Epic electronic medical record to conduct care coordination activities and comply with associated policies and procedures including those for work flow and consistent documentation. Follow evidence based guidelines and contact standards to facilitate closure of gaps in care and encourage use of in network services. Interact with relevant stakeholders (health plans, contracted NYUPN practitioners, other providers, Post-acute Care Providers, office staff, etc.) and collaborate with relevant staff to support regular interactions with program/initiative patients. Identify patients that have been hospitalized and monitor clinical status. Engage patients in taking a proactive role for managing their health, medications, treatment and rehabilitation needs, and follow-up appointments and refer patients to the appropriate community based, health plan or other programs. Conduct comprehensive assessments, identify problems/issues, establish goals, implement interventions, reassess needs, establish appropriate time-frame for frequency of follow-up activities, and provide closure and referral services, as appropriate and notify providers of readmission's and significant clinical status changes as appropriate. Minimum Qualifications: To qualify you must have a Licensure as a Professional Registered Nurse in NYS with current registration. Education: BSN or graduate of an accredited RN program with Bachelors degree in related health care field. Experience: Three to five years clinical experience in ambulatory care, managed care or acute medical-surgical experience in the care of the population targeted for care coordination. Competencies: Possesses demonstrated strengths in interpersonal communication, customer service, negotiation, conflict management, creative problem solving, clinical leadership, change management, work process organization and time management. Able to apply critical thinking and clinical expertise toward achievement of specific outcomes. Previously established ability to foster strong collaboration with co-workers, peers, physicians, nursing, and ancillary departmental support staff. Working knowledge of Microsoft Office (Outlook, Word, Excel and PowerPoint) and demonstrated proficiency in managing an electronic medical record such as Epic or a care/case management system.. Required Licenses: Registered Nurse License-NYS Preferred Qualifications: #J-18808-Ljbffr NYU Langone Hospitals