Full-time Position: Hep C Care Coordinator

Icahn School of Medicine at Mount Sinai

Department of Medicine, Division of Liver Diseases

Project Description:

LEAP (Liver Education & Action Program) at Mount Sinai aims to improve the treatment of Hep C virus infection in NYC. An estimated 91,000 New York City residents have chronic Hep C infection, which causes cirrhosis, end-stage liver disease, liver cancer, and death in 20% of infected persons. LEAP utilizes comprehensive care coordination to assist medical providers in improving overall outcomes related to treatment while reducing psychosocial and behavioral barriers to care.

The Care Coordinator will provide case management, education, outreach, collaboration, and logistical support to patients with chronic Hep C as they navigate the Hep C treatment process at Mount Sinai.

The Care Coordinator may also support a small caseload of patients with Hep B virus.

This is an ideal position to gain experience in community health and healthcare. Previous team members have gone on to pursue advanced training in medicine and positions in public health, health tech, and university/hospital administration.

Must be able to travel to multiple clinics in various locations in New York City Monday – Friday.

This is a full-time position with benefits.

Currently, this role is hybrid on-site and remote.

May return to fully on-site/clinic in future.

Start Date: As soon as possible.

Salary Range: $50,000 to $58,000

Responsibilities:

  • Develop effective relationships with patients and their caregivers as well as the medical team to promote interdisciplinary communication, continuity of care, and adherence to patients’ care plans. Provide a central point of contact and escalate concerns appropriately.
  • Collect all HCV-related data and input daily into REDCap database (ensuring data security and accuracy); document encounters in electronic medical record (EPIC).
  • Promote and monitor appointment adherence with follow-up calls and letters
  • Conduct brief alcohol, substance use, and mental health screenings and/or interventions
  • Administer pre-treatment readiness assessments to identify potential barriers to treatment (e.g. using standardized instrument such as PREP-C).
  • Provide patient education on the natural history of Hep C, prevention of transmission, evaluation, treatment, adherence, and side effect management, as well as general healthy living, alcohol, and substance use
  • Provide patients with referrals to internal and community resources, including primary care providers, social services, mental health and substance use resources, etc.
  • In clinic, check in with patients after appointments with liver provider for 5-10 minutes:
    1. assess how patient is doing (build rapport)
    2. ask patient to clarify next steps
    3. schedule follow-up appointments in real-time (e.g. ultrasound)
    4. elicit fears and concerns
    5. answer questions
    6. work with any insurance issues and refer to on-site finance office
  • Work with pharmacies and providers to prepare prior authorizations for medications, order/deliver/dispense medications
  • Pick medications up from pharmacy and bring to clinic
  • Provide adherence counseling and monitor patient-reported side-effects via weekly calls, and report to provider as needed
  • Accept and coordinate in-house and outside Hep C referrals
  • Assist linkage to care team by reaching out to previously screened Hep C-positive patients who have not been treated
  • Schedule patients for all appointments
  • Accompany patients to on-site or off-site appointments when necessary
  • Obtain outside medical records as needed
  • Follow up on labs ordered by the Hep C provider and review results to complete evaluation
  • Organize and administer any program incentives (e.g. metro cards)
  • Report to and meet with Program Manager at least monthly
  • Report directly to and meet weekly with Senior Care Coordinator
  • Attend team meetings and contribute to case presentations; participate in group case conferences, problem-solving, and process improvement discussions
  • Attend on-site and off-site trainings as assigned
  • Work with community partners to develop and maintain Hep C-related networks (e.g. syringe exchange program and CBOs). Foster relationships with outside organizations to facilitate warm handoffs.
  • Other duties as they arise

Education Training and Experience:

  • Bachelor’s degree required, Master’s preferred, ideally in Public Health, Social Work, Psychology, or related
  • Bilingual English and Spanish highly desirable
  • 1-2 years of experience in community health, case management, health education, or related
  • Knowledge of community resources and health care processes & structures
  • Knowledge and experience with personal computers, especially Microsoft Office Suite, databases, and electronic medical records (e.g., EPIC)
  • Ability to function at high level remotely (i.e. from home via Zoom, etc.) on days not in clinic
  • Strong interpersonal and teamwork skills
  • Excellent oral and written communication skills and attention to detail
  • Strong independent judgment, problem-solving skills, and ability to thrive in a rapidly evolving environment
  • Eagerness to learn and take on new tasks
  • Must be authorized to work in the United States
  • Must be fully vaccinated against Covid-19 or willing to be vaccinated.

To apply, send CV, Resume to:

Francina Collado, MPH

Senior Care Coordinator

LEAP – Liver Education & Action Program

Division of Liver Diseases

Icahn School of Medicine at Mount Sinai

francina.collado@mssm.edu

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