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Req Number 64577Job DescriptionJob DescriptionCoordinates and participates in activities related to Care Management services to family members and caregivers.Job ResponsibilityUtilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
Supports the primary care team by providing panel management to decrease the number of patients lost to care, non-compliant in follow up care or disconnected from primary care. Participates in the development, maintenance, and adjustment of individualized care plans for high-risk patients that address both medical and social barriers to accessing care.
Acts as a professional liaison between hospitals, primary care providers, specialists, and community resources on behalf of patients to ensure patient-centered care coordination.
Identifies and tracks special populations, including high-risk patients and other populations due for preventive or chronic care services.
Identifies and tracks patients discharged from the inpatient service or the emergency department.
Uses team-based communication strategies to close the loop on referrals, hospital follow-ups and any outstanding items identified in the patient's care plan. Performs outreach activities in primary care sites, homes, hospitals, and neighborhoods.
Job QualificationHigh School Diploma or equivalent required.
1-3 years of relevant experience, required.
Bachelor's or Master's degree in relevant field strongly preferred.
Health home or care management experience strongly preferred.
NYS Driver's License strongly preferred.
It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
Vacancy expired!