Job Description
Project Description: LEAP (Liver Education & Action Program) at Mount Sinai is dedicated to enhancing the diagnosis, prevention, and treatment of liver diseases in New York City. With a focus on a variety of liver diseases, including hepatitis B, C, and D, metabolic-dysfunction associated steatotic liver disease (MASLD, formerly "fatty liver"), and primary biliary cholangitis (PBC). LEAP aims to improve patient outcomes through comprehensive outreach and care coordination, addressing both medical and psychosocial needs.
The Care Coordinator will provide case management, education, outreach, collaboration, and logistical support to patients with liver diseases as they navigate the care and treatment process at Mount Sinai. This is an ideal role for a motivated recent graduate seeking healthcare or public health experience.
This position offers an ideal opportunity to gain experience in community health and healthcare. Previous team members have advanced to pursue further training in medicine, nursing, and social work, or positions in public health, health technology, and university/hospital administration.
Responsibilities - By phone, patient portal, letter, and potentially bedside, reach out to patients who have been recently or previously diagnosed with a liver disease and have not been treated or who need additional diagnostic testing or imaging.
- Schedule appointments, accompany patients to appointments when necessary, and obtain outside medical records as needed.
- Develop 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. Escalate concerns appropriately.
- Collect, manage, and input clinical and barrier to care data into REDCap database, ensuring data security and accuracy. Document encounters in the electronic medical record (EPIC).
- Review patient charts for clinical and research data collection.
- Promote and monitor appointment adherence via meeting patients at appointments, follow-up calls, and letters.
- Conduct brief screenings and interventions for alcohol, substance use, and mental health issues.
- Administer pre-treatment readiness assessments to identify and address potential barriers to treatment.
- Provide comprehensive patient education on the natural history of viral hepatitis, transmission prevention, evaluation, treatment options, adherence, side effect management, and general healthy living practices.
- Offer referrals to internal and community resources, including primary care providers, social services, mental health, and substance use resources.
- Check in with patients after appointments with liver providers, addressing concerns, scheduling follow-ups, and providing assistance with insurance issues.
- Coordinate with pharmacies, insurance companies, and providers to prepare prior authorizations for medications, as well as ordering, delivering, and dispensing medications.
- Provide medication adherence counseling and monitor patient-reported side effects via weekly calls, reporting to providers as needed.
- Accept and coordinate in-house and outside referrals.
- Follow up on labs ordered by liver providers and review results for evaluation completion.
- Organize and administer program incentives (e.g. metrocards)
- Assist in department research studies by screening subjects for eligibility, consenting participants in person, coordinating study clinic visits, and ensuring IRB requirements are met, etc.
- Report to and meet with the Program Manager regularly.
- Attend team meetings, contribute case presentations, and participate in problem-solving and process improvement discussions.
- Collaborate with community partners to develop and maintain relationships for warm handoffs.
- Perform other duties as assigned.
Qualifications - Bachelors degree in science or related field preferred or a combination of relevant research experience and education. Master's degree preferred, ideally in Public Health, Social Work, Psychology, or related field.
- 0-2 years of research/human subjects experience; 1-2 years of experience in community health, case management, health education, or related field preferred
- Fluency in English and Spanish highly desirable; Russian, Mandarin, Cantonese, or French fluency also valued.
- Experience managing databases and summarizing data in tables and charts.
- Knowledge of community resources and healthcare processes and structures.
- Proficiency 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 a clinic setting.
- 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 able to travel to multiple clinics in various locations in New York City Monday - Friday. Currently, this role is hybrid on-site and remote. May return to fully on-site/clinic in future.
About Us Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
Job Tags
Full time, Traineeship, Work at office, Local area, Remote work, Monday to Friday,