Clinical Care Coordinator (RN)

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, diversity, 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 diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to med.nyu.edu, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter and Instagram.

Position Summary:
We have an exciting opportunity to join our team as a Clinical Care Coordinator (RN).

The vision of the Institute for Excellence in Health Equity IEHE is to strive for excellence in health equity research clinical care and medical education. IEHE is seeking a dynamic and experienced person who will be responsible for centralized care coordination across the continuum of health care delivery with emphasis on services incurred in ambulatory outpatient settings. Care coordination includes assessing healthcare and social 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 including but not limited to remote patient monitoring of health indicators. This position provides services to support expected program outcomes of improved chronic disease management identification and referral of patient health related social needs, reduced admissions/readmissions, reduced emergency department visits, improved medication adherence, reduced gaps in care, increased clinic appointment attendance, 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 NYU Langone Health staff, and payers including research teams, and Community Health Workers, 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. 
• Conduct comprehensive assessments, identify problems/issues, establish goals, implement interventions, reassess needs, establish appropriate timeframe for frequency of follow-up activities, and provide closure and referral services, as appropriate and notify providers of readmissions and significant status changes as appropriate.
• Engage patients in taking a proactive role for managing their health and well-being, medications, treatment and rehabilitation needs, and follow-up appointments and refer patients to the appropriate community based, health plan or other programs.
• Identify patients that have been hospitalized and monitor clinical status.
• Interact with relevant stakeholders (health plans, practitioners, other providers, office staff, research teams, community-based organizations and service agencies, etc.) and collaborate with relevant staff to support regular interactions with program/initiative patients.
• Required collaboration with and teamwork alongside community health workers, community partners, and research personnel as needed/appropriate, inclusive of direct patient case coordination and project collaboration (e.g., interdisciplinary team meetings)
• Follow evidence-based guidelines and contact standards to facilitate closure of gaps in care and encourage use of in network services.
• Use the Epic electronic medical record to conduct care coordination activities and comply with associated policies and procedures including those for workflow and consistent documentation.
• 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.
• 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
• Participate in the development, promulgation, and implementation of care coordination process standards relevant to service scope.
• Assist with orienting and training team members (New hires/interdepartmental initiatives) as requested.
• Initiate/maintain professional development plan including goals for self-improvement and to sustain clinical and NYU Langone Health competencies; attend and participate in program/initiative teleconferences, program enhancement trainings and meetings, as required.
• Meet all other expectations and responsibilities of the program/initiative agreement as related to care coordination.

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 of clinical experience in ambulatory care managed care or acute medical surgical experience in the care of the population targeted for care coordination Experience working with patients at all life stages including pregnancy children/families and older life 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

Preferred Qualifications:
Two or more years in health plan home health care or ambulatory setting care/case management experience Spanish language skills preferred Membership in care/case management and/or related professional organization Certification in Case Management American Board of Quality Assurance and Utilization Review Physicians Inc ABQAURP or Certified Professional Healthcare Quality CPHQ Epic proficiency Masters of Science in Nursing or relevant health related field

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Grossman School of Medicine provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.

NYU Grossman School of Medicine is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Grossman School of Medicine’s EEO policies, please click here. Please click here to view the Federal “EEO is the law” poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $97,589.96 – $162,649.75 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here