* Assist all patients through the health care system by acting as a patient advocate and navigator.
* Participates in Patient Centered Medical Home team meetings and quality improvement initiatives.
* Facilitates health and disease patient education, including leading group office visits.
* Supports patients’ self-management of disease and behavior modification interventions.
* Coordinates continuity of patients and families following hospital admission, discharge, and ED visits.
* Conducts comprehensive, preventive screening for patients and/or assists all support staff in daily patients interactions as needed.
* Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans.
* Facilitates patient medication management based upon standing orders and protocols.
* Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to the Patient Centered medical Home and Medical Neighborhood initiatives.
* Evaluates clinical care, utilization of resources, and development of new clinical tools, forms, and procedures.
* A team player that can a follow a system and protocol to achieve a common goal.
* Highly organized and well-developed oral and written communication skills.
* Demonstrates sound judgement, decision-making and problem solving skills.
* Able to obtain confidentiality with all aspects of information in accordance with practice, State and Federal regulations.
* Confidence to communicate and outreach to other community health care organizations and personnel.
* Self-disciplined, energetic, passionate, innovative.
* Performs all other duties as required.
* Assist all patients through the health care system by acting as a patient advocate and navigator.
Billingual preferred
Formal Education and Job-Related Experience - High School Diploma required
Desired (not required) criteria include: This position requires a minimum formal education of Bachelor's Degree and a minimum of 5 years job-related experience.
License, Registration, or Cert. Required
LPN or RN New York City License Preferred
Salary $56,824.59