Care Navigator/ Health Coach

Overview

How you move is why we're here. Now more than ever.

Get back to what you need and love to do.

The possibilities are endless...

Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize

the abundant opportunities for growth and success.

If this describes you then let's talk!

HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise

Care Navigator/Health Coach

HSS Lifestyle Medicine Program

Overview:

The Care Navigator/Health Coach for the HSS Lifestyle Medicine Program will serve as a member of the interprofessional care team, providing health coaching services and coordinating patient care from start to finish of the program. This role combines the expertise of clinical care navigation with health coaching to enable patients to develop, implement, and adhere to personal wellness plans that may include:

• Introducing mindful thinking and work to build confidence

• Defining a higher purpose for improving health

• Discovering innate desires and drivers for health

• Addressing emotional and physical health together

• Enabling patients to create and maintain suitable health plans

• Setting realistic, timely, and achievable goals

• Helping to problem solve obstacles, recognizing them as opportunities for growth

• Providing support for achieving better health

• Educating patients and encouraging adherence to their plans of care

• Evaluating patients for program discharge and follow-up

This Care Navigator/Health Coach will apply clinical knowledge and expertise to ensure appropriate entry of records and patient measures necessary for monitoring patient progress. The role requires collaboration with an interprofessional care team, including physicians, advanced practice providers, physical therapists, registered dietitians, exercise physiologists, counselors, and program administrators to facilitate and coordinate patient-specific, evidence-based care.

Primarily, the Care Navigator/Health Coach engages in virtual follow-ups, guiding patients throughout their treatment in the Lifestyle Medicine Program. The role involves personalized patient navigation and occasional in-person interactions or group sessions, based on program dynamics and patient requirements. This position benefits from a hybrid work setting with potential in-person office space at various HSS locations such as the Pavilion, East River Building, and Midtown, with specific details to be finalized. Flexibility to work from home is available, dependent on productivity. Regular collaboration with interprofessional team members and active participation in administrative meetings are required to maintain effective patient care coordination.

Key Responsibilities

The Care Navigator/Health Coach plays a crucial role in advancing patient health outcomes through the following responsibilities:

Patient Management

• Conduct 1:1 virtual follow-ups with patients to guide and support their care plans within the Lifestyle Medicine Program

• Occasionally host group sessions or in-person follow-ups as needed, depending on patient load and program dynamics

• Develop and update patient curriculum and educational materials tailored to individual patient needs

• Serve as a primary point of contact for patient and staff inquiries, providing consistent clinical and navigational support

• Identify and support patients at risk for poor adherence, coordinating with the program's scheduling and integration coordinator to adjust service needs and ensure continuous care

Clinical Team Coordination

• Facilitate communication and collaboration among interprofessional team members to ensure comprehensive, patient-specific care

• Participate in and actively contribute to monthly interprofessional team meetings, sharing insights from patient interactions to inform care strategies

Administrative Management

• Manage and coordinate the scheduling of patient interactions, ensuring flexibility and responsiveness to patient needs

• Maintain detailed documentation in the electronic medical record for all patient interactions to track progress and inform care decisions

• Communicate effectively with interprofessional team members, staff, and administrators to ensure coordinated and timely patient care

• Provide ongoing insight into the care management process, working closely with administration to address barriers and improve patient outcomes

• Uphold clear and effective communication with all relevant program stakeholders to foster collaboration and program success

Qualifications

Required Qualifications/Skills:

• Must possess a clinical background in fields such as physical therapy (PT), nursing (RN), social work (LCSW), or similar professions, demonstrating a comprehensive understanding of patient care dynamics

• Required to hold the appropriate professional certification for their specific clinical field, ensuring they meet all regulatory and practice standards

• Previous healthcare work experience

• Ability to prioritize issues, resolve conflicts and communicate across all levels of the organization

• Should be team-oriented and motivated to contribute significantly to scaling care management offerings for ambulatory patients at HSS

• Must be able to learn new software tools and systems as required

• Proactive, detail-oriented, pragmatic, and energized by a fast-paced, evolving environment

Desired Qualifications/Skills:

• Wellcoach certification (preferred, not required; candidates will have the opportunity to obtain this certification through professional development support provided by the HSS Lifestyle Medicine program)
• Previous experience working with EPIC is preferred

Education/Years of Experience

• A Bachelor's degree is required. A Master's degree in a related field is preferred.
• A minimum of two years of clinical experience post-licensure or certification approval to engage in patient care is required.

Other Requirements

#LI-Hybrid

Pay Range

• Minimum

USD $100,000.00/Yr.

Pay Range

• Maximum

USD $130,000.00/Yr.