Care Coordinator at SB Clinical Practice Management

Town of Brookhaven, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Jun, 26

Salary

27.4

Posted On

09 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Coordination, Patient Engagement, Needs Assessment, Care Planning, Resource Linkage, Tracking Patient Activity, Care Transitions, Benefit Enrollment, Referral Coordination, Continuity of Care, Relationship Cultivation, Documentation, EHR Management, Quality Improvement, Chronic Disease Management, Communication

Industry

Hospitals and Health Care

Description

Overview Care Coordinator - Family Medicine Location: Stony Brook, NY Schedule: Full Time Days/Hours: Monday - Friday; 9:00 AM - 5:30 PM Pay: $21.92 - $27.40 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities SUMMARY: The Care Coordinator is responsible for providing care coordination services to patients who require enhanced support across medical, behavioral, and social domains. Working closely with a multidisciplinary care team, the Care Coordinator ensures timely access to high-quality care, supports self-management goals, and facilitates referrals to both internal and community-based resources. The Care Coordinator also serves as a liaison and advocate for patients navigating the health care system, promoting continuity and improved health outcomes. Job Duties & Essential Functions: Support the care management team in identifying and engaging patients in need of enhanced care coordination services. Collaborate with providers and clinical teams to assess patient needs, develop care plans, and link patients to appropriate community, behavioral health, and social service resources. Track patient activity across the care continuum, including emergency department visits, hospital admissions, and discharges. Conduct follow-up outreach within designated timeframes following hospital or emergency room encounters to support care transitions. Assist patients with eligibility and enrollment in pharmaceutical assistance programs and other benefit services as needed. Coordinate referrals to medical and specialty providers and ensure follow-up and integration of referral information into the patient’s care plan. Work collaboratively with primary care, behavioral health, and specialty teams to ensure continuity of care and information-sharing across settings. Cultivate and maintain relationships with external service providers and community organizations. Maintain timely and accurate documentation in the EHR, in accordance with organizational policies. Actively monitor and respond to messages in designated message pools. Ensure timely and accurate management of all communications within assigned electronic message pools. Participate in quality improvement initiatives, data collection, and reporting related to care coordination outcomes. The Care Coordinator facilitates seamless patient care by arranging and tracking referrals, tests, and treatment plans Assists the care manager and care coordination team in delivering effective chronic disease management Maintains up-to-date records in the EMR Serves as a communication link between patients, families, and the healthcare team to ensure coordinated, patient-focused care. Perform other duties as assigned by leadership. Qualifications Required Education & Qualifications: High school diploma/GED. Three years of experience working in an office setting. Must be proficient in MS Word and knowledge of Excel. Must be proficient in arranging meetings on Teams and Zoom. Strong organizational, analytical, and problem-solving abilities. Ability to work collaboratively as part of an interdisciplinary team. Preferred Qualifications: Experience working in integrated medical health care settings. Familiarity with community resources, entitlement programs, and patient navigation strategies. Local knowledge of health and social services available on Long Island and/or the surrounding region. Bilingual (English/Spanish or other relevant language) preferred. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management. The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP. StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations. Given StaffCo’s employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY. The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board. CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training. CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMP’s employees to perform their job duties may result in discipline up to and including discharge.

Responsibilities

The Care Coordinator provides enhanced support services across medical, behavioral, and social domains by working with a multidisciplinary team to ensure timely access to quality care and facilitate referrals. Duties include tracking patient activity across the care continuum, conducting follow-up outreach after encounters, and acting as a liaison and advocate for patients navigating the healthcare system.