Location: Briarcliff Manor,NY, USA
Job DescriptionJob DescriptionCoordinates and participates in activities related to Care Management services to family members and caregivers. Job Responsibility Utilizes 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 Qualification High School Diploma or equivalent required. 1-3 years of relevant experience, required. *Additional Salary DetailThe salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).About UsNorthwell Health At Northwell Health, we're a network of collaborators, research pioneers, entrepreneurs and educators-74,000+ strong-each year caring for millions of individuals and their families who share our neighborhoods and communities where we live, love and work. Northwell is a Fortune 100 Best Companies to Work for, the only health care provider in New York State to be recognized. As New York State's largest healthcare provider and employer, Northwell has many career opportunities across our 23 hospitals, nearly 800 outpatient facilities, our laboratories, and our world-class research facility with locations spanning across Long Island, Manhattan, Queens, Staten Island and Westchester. Together, with each patient and caregiver, our ability to serve the community grows. And so does your opportunity to advance your career with us. While we are committed to improving the lives of millions, we never lose sight of you and your career aspirations. Our team members have limitless opportunities for career growth, learning and development with a rewarding and inclusive culture that supports and nurtures their professional journey at every step of the way. From the smallest gesture to life-changing treatments and research, we are redefining health care and strengthening the health of our neighborhoods far and wide. Join us and embark on a fulfilling career journey as you help deliver on our mission. A Northwell career is a career well cared for.About the TeamPhelps Hospital is a 238-bed acute-care community hospital located on 69 acres of land overlooking the Hudson River. Phelps provides emergency, inpatient and outpatient medical and mental health services for residents of Westchester County, and beyond receiving 4-STAR Centers for Medicare & Medicaid Services rating for 2019. Phelps is recognized for excellence in urology, GI and hyperbaric medicine and has been at the forefront of the latest orthopedic procedures for hip and knee replacement and complex spine surgery. The department of radiology has been designated a Diagnostic Imaging Center of Excellence by the American College of Radiology. In recent years, major improvements have included a new emergency department, a state-of-the-art surgery center and a new MRI Center.