Care Management Coordinator (Staten Island)

Job description

Job Description Coordinates and participates in activities related to Care Management services to family members and caregivers. HARP (Health and Recovery Program): The HARP team is a portion of the Care Management Health Home spectrum that specializes and supports patients who meet the NYS behavioral health high-risk criteria guidelines and provides them with higher intensity case management. 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 chron...