Position Summary:
We have an exciting opportunity to join our team as a Clinical Care Coordinator. This position will have a Monday - Friday schedule, with training fully onsite, and following successful training, a 50% onsite, 50% work-from-home schedule.

This position is responsible for care coordination across the continuum of health care delivery with emphasis on services received outside the inpatient hospital setting Care coordination includes assessing healthcare 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 This position provides services to support program outcomes of reduced admissions/readmissions reduced emergency department visits improved medication compliance reduced gaps in care 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 This position also provides clinical leadership for patient care coordination that is consistent with the philosophy and goals of NYU Langone Health The position must work in collaboration with internal and external providers and other NYULH staff to ensure achievement of high quality outcomes for patients/families

Job Responsibilities:

* Provide care coordination for patients as assigned in compliance with appropriate policies and procedures and contractual requirements
* Conduct comprehensive assessments identify problems/issues establish goals implement interventions reassess needs and establish an appropriate timeframe for the frequency of follow-up activities 
* Provide closure and referral services as appropriate and notify providers of readmissions and significant clinical status changes as appropriate
* Engage patients in taking a proactive role in managing their health medications treatment and rehabilitation needs and follow-up appointments nbsp; Refer patients to appropriate community-based health plans or other programs 
* Identify patients that have been hospitalized and monitor their clinical status
* Interact with relevant stakeholders to support regular interactions with program patients Ex health plans contracted NYUPN practitioners other providers Post-acute Care Providers office staff etc 
* Follow evidence-based guidelines and contact standards to facilitate the closure of gaps in care and encourage the use of in-network services
* Oversee and monitor activity by other staff members about assigned patients to ensure compliance with associated policies and procedures and timeliness of completion 
* Be 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 the care of patients and families
* Participate in the development communication and implementation of care coordination process standards relevant to service scope
* Assist with precepting and training team members as needed new hires and during the implementation of new workflows 
* Initiate/maintain professional development plan including goals for self-improvement and to sustain clinical and NYULH competencies; attend and participate in program/initiative teleconferences program enhancement trainings and meetings as required

Other duties as required

Minimum Qualifications:
To qualify you must have a Current license to practice as a Registered Nurse in New York State and Florida Bachelor of Science in Nursing 3 5 years of clinical experience in the ambulatory managed care or medical-surgical setting with experience caring for the population targeted care coordination Strong interpersonal communication skills customer service skills problem-solving skills Strong time management skills and ability to work independently Strong critical thinking and creative problem-solving skills Ability to be a clinical leader and change agent Able to collaborate with staff across the organization including physicians social workers etc Working knowledge of Microsoft Office Word Excel PowerPoint Outlook Comfortable working in an electronic health record particularly Epic.

Required Licenses: Registered Nurse Lic- Florida, Registered Nurse License-NYS

Preferred Qualifications:
2 or more years experience working in a health plan home health care or ambulatory setting as a care manager Membership in care/case management and related professional organization Certification in Case Management American Board of Quality Assurance and Utilization Review Physicians Inc ABQAURP or Certified Professional Healthcare Quality CPHQ Masters of Science in Nursing or relevant health-related field

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

NYU Langone Florida 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.

Please click here if you wish to view NYU Langone Florida's EEO policies. 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.

Required Skills

Required Experience