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The Institute For Advanced Medicine
The Mount Sinai Health System
The Institute for Advanced Medicine at the Mount Sinai Health System is seeking a Care Coordinator to support the Voices in Partnership (VIP) program. VIP addresses the social, mental, and physical health needs among Black and Hispanic/Latinx Transgender, Intersex, Gender Non-Conforming, and Non-Binary (TIGNCNB) individuals living with HIV in the New York Eligible Metropolitan Area.
The Care Coordinator will be responsible for providing a full-range of HIV/AIDS services to PWH and their partners. The Care Coordinator will also provide crisis intervention, assistance with entitlements, treatment adherence support, and coordinate support groups focusing on HIV treatment adherence and psychoeducation. The Care Coordinator will work collaboratively with the care team in determining proposed interventions, including motivational interviewing, retention in care, treatment adherence, unmet needs, and patient’s priorities through direct patient interactions, medical assessments, program reassessments and care team case conferences.
Duties and Responsibilities
1. Develops and updates service plan at least quarterly with progress towards achieving goals.
2. Carries out tasks to execute the medical and support service plans, including linkage to comprehensive care and appropriate follow up.
3. Acts as the primary liaison with medical providers to ensure that medication adherence issues and barriers to care are addressed.
4. Provides referrals to individual and group therapeutic counseling to support the achievement of service plan goals.
5. Provides biomedical and adherence education to address adherence to psychiatric or HIV treatment.
6. Conducts case conferences and reassessments at least every six months to re-evaluate emerging health and service needs
7. Performs entitlements assessment in conjunction with the case management team.
8. Refers patients to relevant internal and external support services.
9. Ensures the provision of enhanced case management services including linkage to primary care, immediate initiation of ART, telehealth services, STI/HCV screening, and partner services.
10. Partners with patient care team and community resources to provide well-coordinated timely compassionate, quality, and interdisciplinary care.
11. Documents all patient encounters and enters all data into web-based system. May be responsible for supporting grant-related program evaluation and quality improvement initiatives.
12. Initiates and performs ongoing review of policies related to services provided. Troubleshoots and updates as necessary.
13. Other tasks as assigned.
Associate’s degree with 2+ years of relevant healthcare experience.
If no experience, Bachelor’s degree is preferred.
Bilingual (English/Spanish) preferred.
Experience working with people living with HIV/AIDS, including TIGNCNB individuals.
Experience providing case management services.
Microsoft Office Suite (Intermediate)
Web Based Data Systems (Intermediate)
General Office Environment
Job Type: Full-time
Ability to commute/relocate:
Work Location: One location
Hiring 1 candidate for this role