Care Coordinator-AIDS Center-Greenwich Village-Mount Sinai Hospital-Full Time-Days

Position Title:

Care Coordinator-AIDS Center-Greenwich Village-Mount Sinai Hospital-Full Time-Days

Position Summary:

Care Coordination is a Ryan White Part A funded program. Based on the case management model, it assists patients in accessing HIV care, communicating with providers, obtaining needed social services, and initiating or adhering to antiretroviral treatment while providing education and capacity-building to help patients become as self-sufficient as possible. As the population living with HIV ages, we increasingly serve geriatric care needs. 

The Care Coordinator is responsible for case-finding, program enrollment, routine assessment, support, coordination and guidance to people living with HIV from diagnosis to survivorship, in collaboration with the multidisciplinary clinic team, and through direct patient service and supervision of the programs’ Care Navigation Associates.

The Care Coordinator uses evidence-based research to formulate the plan of care and ensure that patients are following their protocols. Documents outcomes in the electronic health record and enters services in grant funder reporting system. Coordinates the appropriate resources and consult services to provide continuity of care and appropriate follow up. Communicates with all members of the healthcare team, in addition to external medical, social and supportive service providers and agencies. Initiates appropriate patient teaching based on needs. Supports the patient in decision making. 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 data to educate patients and form a care plan with specific, measurable health outcomes.

• Supervising Care Navigation Associates (aka Patient Navigators) by supporting and monitoring completion of responsibilities including: appropriate and timely service delivery, health education delivery, case management, data entry, and tracking of patient progress;
• Identifying and enrolling eligible patients in collaboration with the interdisciplinary clinic staff, completing the comprehensive intake assessment and biannual reassessments, verifying patient eligibility, conducting clinical screenings and collecting relevant documentation;
• Developing and routinely updating a patient-centered care plan in collaboration with the patient and their care team;
  Providing services for patients as needed, including health education, case management, and accompaniments to medical and social services appointments;
• Conducting quarterly case conferences with each patient’s Primary Care Provider and participating in interdisciplinary collaboration;
• Tracking each patient’s progress over time and communicating changes to the rest of the patient’s care team and maintaining patient charts;
• Documenting all patient encounters in the Electronic Medical Record;
• Conceiving, implementing and co-facilitating supportive, social and educational groups for people living with HIV, especially older adults;
• Performing data collection and data entry as required by the program funder;
• Participating in Quality Improvement and Research initiatives as needed.
• Partners with families, patient care team and community resources to provide exemplary, well-coordinated, timely, compassionate care.
• Other activities as required.
  

Education Requirements:

Masters degree in Social Work, Mental Health Counseling or other clinical professional degree.

Experience requirements:

• Experience documenting in an electronic health record preferred.
• 3+ professional experience in a health-related or HIV-related program
• 3+ years of case management experience
• 2+ years of supervisory experience

Skills:

• Excellent verbal and written communication skills to communicate effectively with patients, staff, visitors and the public. 
• Ability to manage a team of 3-4 Community Health Advocates; strong supervisory skills, organization and follow-through.
• English and Spanish fluency strongly desirable.
• Intermediate computer skills including Microsoft Word, Excel, and Outlook.
  

Compensation Statement:

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $58,661.00 - $79,654.36 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Non-Bargaining Unit, 426 - AIDS Center - GV - MSH, Mount Sinai Hospital

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next 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 48,000 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 artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $58661 - $79654.36 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.