Hepatitis B Care Coordinator Job in LEAP – Liver Education & Action Program, Icahn School of Medicine at Mount Sinai

Full-time Position: Hepatitis B Care Coordinator
Icahn School of Medicine at Mount Sinai
Department of Medicine, Division of Liver Diseases
Project Description: LEAP (Liver Education & Action Program) at Mount Sinai is expanding its aims to improve the treatment of hepatitis B virus (HBV) and the lesser-known hepatitis delta virus (HDV) infection in NYC. An estimated 241,000 NYC residents have chronic HBV infection, and an estimated 10% of those persons also have HDV, which can only occur in persons infected with HBV.
Viral hepatitis can cause cirrhosis, end-stage liver disease, liver cancer, and death, and HDV is the most aggressive form. The good news: effective new treatments are on the horizon. LEAP utilizes comprehensive care coordination to assist medical providers in improving overall outcomes related to treatment while reducing barriers to care.
This is an exciting opportunity to help pilot and develop a new initiative in our program and help get patients on much-needed treatment.
The Care Coordinatorwill provide care coordination (case management, education, outreach, collaboration, and logistical support) to patients with chronic HBV and HDV as they navigate the treatment process at Mount Sinai.
The Care Coordinator may also support a small caseload of patients with hepatitis C virus (HCV).
Develop effective 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. Provide a central point of contact and escalate concerns appropriately.
Collect all HBV and HDV-related data and input daily into REDCap database (ensuring data security and accuracy); document encounters in electronic medical record (EPIC).
Promote and monitor appointment adherence with follow-up calls and letters
Conduct brief alcohol, substance use, and mental health screenings and/or interventions
Administer pre-treatment readiness assessments to identify potential barriers to treatment.
Provide patient education on the natural history of HBV and HDV, prevention of transmission, evaluation, treatment, adherence, and side effect management, as well as general healthy living, alcohol, and substance use
Provide patients with referrals to internal and community resources, including primary care providers, social services, mental health and substance use resources, etc.
In clinic, check in with patients after appointments with liver provider for 5-10 minutes: assess how patient is doing (build rapport)
ask patient to clarify next steps
schedule follow-up appointments in real-time (e.g. ultrasound)
elicit fears and concerns
answer questions
work with any insurance issues and refer to on-site finance office
Work with pharmacies and providers to prepare prior authorizations for medications; order/deliver/dispense medications
Pick medications up from pharmacy and bring to clinic
Provide adherence counseling and monitor patient-reported side-effects via weekly calls, and report to provider as needed
Accept and coordinate in-house and outside referrals
Assist linkage to care team by reaching out to previously screened HBV and HDV-positive patients who have not been treated
Schedule patients for all appointments
Accompany patients to on-site or off-site appointments when necessary
Obtain outside medical records as needed
Follow up on labs ordered by the liver provider and review results to complete evaluation
Organize and administer any program incentives (e.g. metro cards)
Report to and meet with Program Manager at least monthly
Report directly to and meet weekly with Senior Care Coordinator
Attend team meetings and contribute to case presentations; participate in group case conferences, problem-solving, and process improvement discussions
Attend on-site and off-site trainings as assigned
Work with community partners to develop and maintain HBV and HDV-related networks (e.g. cultural organizations and CBOs). Foster relationships with outside organizations to facilitate warm handoffs.
Other duties as they arise
Education Training and Experience:
Master’s degree in relevant field (e.g., Public Health, Social Work, Psychology, etc.)
Russian, Mandarin, Cantonese, or French fluency highly desirable
1-2 years of experience in community health, case management, health education, or related
Knowledge of community resources and health care processes & structures
Knowledge and experience with personal computers, especially Microsoft Office Suite (Excel, Outlook, Word, PowerPoint), 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 clinic
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
This is an ideal position to gain experience in community health and healthcare. Previous team members have gone on to pursue advanced training in medicine and positions in public health, health tech, and university/hospital administration.
Must be able to travel to multiple clinics in various locations in New York City Monday – Friday. This is a full-time position with benefits. Currently, this role is hybrid on-site and remote, depending on patient schedules. May return to fully onsite/clinic in future.
Start date September 1, 2022.
Starting salary around $50,000.
Submit Cover Letter and Resume to:
Francina Collado, MPH
Senior Care Coordinator
LEAP – Liver Education & Action Program
Division of Liver Diseases
Icahn School of Medicine at Mount Sinai
Job Type: Full-time
Pay: From $50,000.00 per month
Dental insurance
Employee discount
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance
8 hour shift
Monday to Friday
COVID-19 considerations:Must be up-to-date or willing to become up-to-date with Covid-19 vaccinations.
Russian (Preferred)
Mandarin (Preferred)
Cantonese (Preferred)
French (Preferred)
Work Location: Multiple Locations