Job | Hep C Care Coordinator @ Mount Sinai NYC

Hep C Care Coordinator NYC

Full-time Position: Care Coordinator

Icahn School of Medicine at Mount Sinai

Department of Medicine, Division of Liver Diseases

Project Description:

Project INSPIRE NYC aims to improve the treatment of hepatitis C (HCV) infection in NYC. It is estimated that 146,500 NYC adults (2.4% of the NYC population) have chronic HCV infection, which causes cirrhosis, end-stage liver disease, liver cancer, and death in 20% of infected persons. The project will demonstrate that patient-centered medical and behavioral healthcare integrated with care coordination services and telemedicine-based provider training will reduce complications, deaths, and costs from HCV.

The Care Coordinator will provide linkage to care services for patients who are HCV Antibody-positive including and care coordination (Case Management, Education, Outreach, Collaboration, and Logistical Support) to patients with chronic hepatitis C.

Responsibilities:

• Navigate HCV Antibody positive patients to on-site viral load/confirmatory testing
• Follow-up with all HCV Antibody positive patients screened for post-test counseling and basic HCV-related education: natural history, prevention of transmission, evaluation, and treatment
• Accept and coordinate in house and outside HCV referrals from primary care physicians
• Schedule patients for all appointments including first on-site HCV evaluation with on-site HCV specialist (within one week), treatment meetings, and follow up appointments on-site and off-site
• Remind patients one day prior to appointment and check to see if patients adhered to appointment
• Promote adherence to all HCV-related appointments and send letter and/or telegram for patients lost to follow-up
• Accompany patients to on-site or off-site appointments when necessary
• Obtain outside medical records as needed
• Work closely with on-site HCV primary care champion to ensure patients are engaged with HCV care (e.g. weekly HCV clinics, review case load, and review data requirements)
• Follow up on labs ordered by the Hepatitis C provider and review results to complete evaluation
• Check in with patients after appointment with on-site HCV primary care champion 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 Medicaid office or on-site social worker
• Prior authorizations for HCV medications, adjuvant medications and other related-procedures
• Work with Medicaid managed care plans and pharmacies for ordering/delivering HCV-medications
• Work with pharmacy and provider to dispense medications, assess patient adherence to medications; counsel patients; and review/monitor for drug-drug interactions
• Provide adherence counseling and assist with side effect management via weekly calls
• Conduct brief alcohol and mental health screenings and/or interventions
• Pre-treatment readiness assessments to identify potential barriers to treatment (e.g. using standardized instrument such as PREP-C, reaching out to patient’s primary care provider)
• Provide HCV education (evaluation, treatment, adherence, and side effect management)
• Conduct rapid HCV testing at outreach sites and navigate new HCV antibody + patients to center
• Work with outside labs for uninsured patients in need HCV viral load testing
• Organize and administer any program incentives (e.g. metro cards)
• Collect all HCV-related data and input in timely manner within databases
  • Maintain all HCV-related databases (e.g. updating data daily, ensuring data security)
  • Report weekly on database updates to HCV team
• Provide weekly updates to HCV team meeting for problem solving, QI, future grant applications
• Attend on-site and off-site trainings as needed.
• Attend New York City Department of Health HCV Task Force, when possible
• Work closely with NYC Department of Health (e.g. attend coordinator meetings and data transfer)
• Attend the weekly Project INSPIRE Mount Sinai HCV telemedicine call
• Report to Project Director
• Attend Project INSPIRE meetings
• Work at multiple clinics in various locations in NYC throughout the week
• Work closely with community to develop and maintain HCV-related networks (e.g. syringe exchange program and CBOs)
• Collaborate with HCV team members in dissemination activities (abstracts and papers)
• Work with and supervise HCV peers navigators – 3-4 per Care Coordinator
• Provide administrative support to the Project INSPIRE team (e.g. conference room booking; scheduling meetings; updating calendars; and fax machine support)
• Other duties as needed

Education, Training and Experience:

• Possess a Bachelor of Science in Public Health, Social Work, Biology, Psychology, Education or an equivalent degree
• Have at least 4 years of experience in a community health role
• Must possess knowledge of community resources and health care processes, structure, and function
• Strongly Preferred bilingual (English and Spanish)
• Must possess knowledge and experience with personal computers
• Must demonstrate ability to work effectively in a team environment
• Must possess the ability to communicate orally and in writing
• Experience in a supervisory role
• Demonstrate Independent Judgment

Immediate start date for all four positions.

Two-year commitment expected.

Salary commensurate with experience.

Submit Cover Letter and Resume to:

Ponni Perumalswami, MD, Assistant Professor, Division of  Liver Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai

One Gustave L. Levy Place – Box 1123 – New York, NY 10029

Office: (212) 659-8879– Email: Ponni.Perumalswami@mountsinai.org

Last Updated on December 17, 2017 by HepFree NYC