Care Coordinator-Psychiatry at Mount Sinai Health System

DescriptionThe Care Coordinator is responsible for coordinating care and guidance to primarily at-risk patients from diagnosis to survivorship. Uses evidence based research to formulate the plan of care and ensure that patients at risk are following their protocols. Documents outcomes and maintains database of patient QI initiatives and outcomes. Coordinates the appropriate resources and consult services to provide continuity of care and appropriate follow up plan of care. Communicates with all members of the healthcare team. Initiates appropriate patient teaching based on needs. Supports the patient in decision making may assist in coordination of end of life care if necessary. 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 Centers for Medicare and Medicaid data to educate patients and form a care plan with specific health outcomes.The position is part of grant to reduce the burden on house staff for tasks that do not require physician time such as outreaching and rescheduling their patients who miss appointments as well as help patients with community resources.ResponsibilitiesIdentifies and arranges psychiatry services offered at clinic levelMeet with patients on the inpatient floor to assess needs and coordinate linkage to outpatient clinicAssists with referral process at intake and upon discharge from InpatientObtains past records form prior psychiatric providersObtains medical records from primary care and other specialist providers if appropriateCompletes all prior authorizations for insuranceAssists patients with access to entitlements and benefitsSchedules non-psychiatric admission appointments for all services within the clinic meets and escorts patients and family members upon arrival to explain procedures and admission processPerforms reminder/ confirmation phone calls to all scheduled intakesParticipates as an active member of multidisciplinary team.Provides ongoing education to patients and families as needed.Provides resources and support for patients before during and after treatment.Coordinates and participates with appropriate interested parties and physicians throughout the patient referral inquiry admission treatment and dischargeprocessMaintains spreadsheets/statistics for all reports on all key indicators related to calls assessment and admissionsWorks with other non-clinical departments as neededEnsures that patients have appropriate authorizations from various managed care insurersWorks as a liaison between MSHS and other community and hospital referralWorks with clinic supervisors including Director ManagerAll other responsibilities as assigned.QualificationsBachelors degree in Health Sciences Social Work or other professional degree.Training or prior experience as research coordinator care navigator or peer advocate case worker preferredExcellent interpersonal and team building skillsExceptional organizational and communication skillsConsistently demonstrates an ability to carry out all responsibilities/duties in a thorough and timely matter.Ability to demonstrate and maintain professional credibility and value with physicians nursing quality leaders and others both inside and outside of the Service LineCompetent in computer technologyProven record of delivering resultsRequired Experience:IC Key Skills Senior Care,Hoyer Lift,Medical office experience,Dementia Care,Home Care,Nursing,Alzheimers Care,Administrative Experience,Meal Preparation,Medication Administration,Memory Care,Tube Feeding Employment Type : Full-Time Experience: years Vacancy: 1