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Care Coordination Specialist

Housing Works
$23 - $26 an hour
New York, New York
3 days ago

Housing Works was founded in 1990; With a long-term commitment to AIDS advocacy. Housing Works established New York State’s first harm reduction-based, OASAS-licensed outpatient drug treatment program. Other services include Health Home care management, behavioral health, and syringe exchange programs. A pioneer in the social entrepreneurship movement, Housing Works operates 10 high-end thrift shops in Manhattan and Brooklyn and a much-loved Bookstore Cafe in Soho. For more information, visit www.housingworks.org
Housing Works fights for funding and legislation to ensure that all people living with HIV/AIDS have access to quality housing, healthcare, HIV prevention, and treatment, among other lifesaving services.

Compensation Range: $23-$26/hour

Overview: The Care Coordination Specialist (CCS) is a vital member of our healthcare team, responsible for delivering comprehensive medical case management services to all Primary Care patients. The role is designed to ensure that patients receive coordinated, high-quality care from the moment they interact with our services. This position involves working collaboratively with clinical and support staff to manage patient enrollments, streamline referrals, document key patient interactions, and manage essential administrative processes within our Electronic Medical Record (EMR) system. The successful candidate will demonstrate exceptional organizational skills, clinical understanding, and a commitment to enhancing patient outcomes while supporting our mission to advocate for those affected by homelessness, substance use, and HIV/AIDS.

Responsibilities:

Patient Enrollment & Insurance Assistance:

  • Coordinate the enrollment of uninsured patients with insurance programs, including facilitating ADAP (AIDS Drug Assistance Program) applications.
  • Assist patients with various insurance authorization processes and paperwork.

Medical Case Management:

  • Document hospitalizations and schedule discharge appointments as needed.
  • Collaborate with internal clinical programs and support staff to monitor and communicate regarding client progress and referrals.
  • Own care coordination tasks unless otherwise designated.

Communication & Documentation:

  • Document significant issues discussed during morning huddles and telephone encounters in clinical meetings.
  • Collaborate with the Nurse Manager (NM/RN) to create pre-huddle sheets that outline patient needs for provider follow-up.
  • Ensure proper documentation and data entry in the EMR related to referrals and patient records.

Meeting Participation & Coordination:

  • Actively participate in Morning Huddles and regular medical staff meetings, including Quality Improvement sessions.
  • Provide coverage for the Patient Access Specialist (PAS) as needed.

Referral & Records Management:

  • Coordinate all aspects of referrals initiated by health center providers, ensuring that:
    • Clients are aligned with a Primary Care Provider (PCP) before referral processing.
    • Appropriate structured data fields are updated within the referral tracking module in the EMR.
    • Patients receive all necessary paperwork for appointments, labs, x-rays, or other prescribed services.
    • Referral outcomes are tracked and communicated to the ordering provider.
    • Insurance authorizations are obtained when necessary.
  • Complete medical records requests and upload relevant documents into patient charts.

Program Enrollment & Resource Distribution:

  • Oversee the distribution of UND gift cards to eligible clients and accurately record receipt details in systems such as eCW and eIcare.

General Support & Advocacy:

  • Provide professional assistance during patient registration and the scheduling of appointments.
  • Support advocacy efforts aimed at addressing the challenges of homelessness and AIDS.
  • Demonstrate commitment to the Housing Works Core values: Membership, All In, Stronger Together, and High Performance.
  • Manage other duties as assigned by the Practice Manager, especially in a fast-paced environment with competing priorities.
  • Understand and meet the needs of both internal and external customers by delivering effective service and escalating issues when required.
Minimum Requirements

Associate's Degree required; Bachelor's Degree preferred.

Housing Works requires employees working in our Health Services division to be fully vaccinated against COVID-19, unless approved for a legal accommodation. If you need an accommodation for any reason, including related to this job requirement, please contact Human Resources.
Job candidates should be aware that scammers may pose as employers and create fake job postings in order to extract personal information from individuals for financial gain. Housing Works will never ask job candidates for personal information, such as social security numbers or bank account details, over the phone. If you suspect that a job posting may be fake or wish to confirm that a job posting from Housing Works is genuine, please contact us at [email protected]

Housing Works provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements. Housing Works complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Housing Works also does not request prior salary information during the hiring process. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

This position is included in a bargaining unit of Housing Works’ New York City employees represented by a labor union known as the Retail Wholesale and Department Store Union (“RWDSU”). Accordingly, the RWDSU has the exclusive right to bargain over the terms and conditions of employment related to this position and this position may become covered by the terms of a collective bargaining agreement (a “CBA”) between Housing Works and the RWDSU

Benefits:
We have three comprehensive healthcare plans to choose from based on your priorities and budget. Housing Works covers most of the plan; you pay a portion, based on your salary. Staff begins accruing PTO immediately for a total of up to 30 days earned in the first year. We offer employees an educational benefit. This money is available for tuition loan reimbursement, tuition costs, and text books.
Housing Works provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements. Housing Works complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Housing Works also does not request prior salary information during the hiring process. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Job candidates should be aware that scammers may pose as employers and create fake job postings in order to extract personal information from individuals for financial gain. Housing Works will never ask job candidates for personal information, such as social security numbers or bank account details, over the phone. If you suspect that a job posting may be fake or wish to confirm that a job posting from Housing Works is genuine, please contact us at [email protected]

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