Clinical Care Guide - Psych Opd - MSH - Full Time - Day

Description Job Title: Clinical Care Guide

• Psych Opd

• MSH - Full Time

• Day Come join a group of smart, passionate individuals who recognize business as usual is over and are together innovating a new system of care.
  
  We are looking for a Care Guide (Clinical Engagement Specialist that works as a primary clinician) to join Ontrack NY Program, focused on engaging patients and their caregivers through an episode of care.
  
  In this role, you will engage patients and caregivers as active collaborators in their care plan, anticipate future needs, identify, and address barriers to access specialty care. You will work with an interdisciplinary care team navigating patients through each treatment phase, ensuring optimal continuity of care, smooth transitions, and timely delivery of care. Serving as primary contact person for referral sources and maintaining on-going communication with referral sources.
  
  Conducting telephone and in-person eligibility screening of young people referred to OnTrackNY Program. Referring participants ineligible for services to other appropriate community providers. Responsibilities Clinical Patient Support Conduct psychosocial assessments with patients and family caregivers identify barriers to seeking medical/behavioral health care and work with the team and patient/family caregivers to develop a care plan to overcome these barriers and improve health outcomes.
  
  Provide intensive post-discharge follow up with patients and family caregivers to provide support and ensure adherence to care plan with the goal of avoiding preventable avoidable ED visits and re-admissions, and navigate patient through continuum of care.
  
  Provide Social Skills Training, Substance Abuse Treatment, Behavioral Activation, Coping Skills Training, and psychoeducation regarding first episode psychosis (FEP) and the goals of the OnTrackNY program. Provide behavioral interventions and supportive therapy taking an especially active role in the family support domain so that they can serve as the point person for the participant and their family.
  
  Conduct needs assessments and safety planning, and connect participants and families with the services and supports they need; Conduct clinical assessment to determine the participant's level of social functioning and substance use via a shared decision making (SDM) framework.
  
  Provide services in the community (off-site) as needed based on participant and family preferences. Participate in a rotating on-call responsibilities with other team members.
  
  Program Enrollment Outreach to potential candidates of the program for enrollment.
  
  Engage patients and determine eligibility for the program. Maintains an in-depth understanding of the specialty care OnTrackNY models program and patient benefits in order to answer patient questions related to the program requirements, features, employer benefits, etc.
  
  Coordinate the resolution of any patient issue or concern.
  
  Create a network of referral providers based on appropriate criteria. Stays informed of the program developments and modifications and standard levels of care.
  
  Work with participants and family for transition from the team to other services and supports and ensure stable links at discharge.
  
  Continuous Quality Improvement Identify strategies for improving patient outcomes. Identify strategies for preventing avoidable ED visits and readmissions.
  
  Identify opportunities to streamline patient care. Qualifications LMSW/LCSW licensure required. 2-4+ years of professional experience in a fast-paced work environment. Experience in a hospital with patients with chronic behavioral health and medical conditions preferred.
  
  Expert in documenting in an electronic medical record. Proficient in Microsoft Office Suite (PowerPoint, Excel, etc.). Experience with customer service. Bilingual (English/Spanish) preferred.
  
  Flexible and receptive to change with the ability to learn quickly and retain new information. Highly organized and detail-oriented. Self-motivated team player.
  
  Solutions-oriented thinker. Passion for health care as evidenced by academic or personal pursuits and professional experience. Compensation Statement The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements.
  
  The salary range for this role is $59,895.00 - $89,843.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. Non-Bargaining Unit, 388

• Psych Opd

• MSH, Mount Sinai Hospital Employer Description Strength Through Diversity The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care.
  
  When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by: Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
  
  Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination. Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers. At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization.
  
  We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally. Explore more about this opportunity and how you can help us write a new 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 43,000 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 approximately 7,400 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 and top 20 in Cardiology/Heart Surgery, 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. 14 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.
  
  The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve.
  
  Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism." EOE Minorities/Women/Disabled/Veterans Compensation The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements.
  
  The salary range for the role is $59895 - $89843 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

LMSW/LCSW licensure required. 2-4+ years of professional experience in a fast-paced work environment. Experience in a hospital with patients with chronic behavioral health and medical conditions preferred.

Expert in documenting in an electronic medical record. Proficient in Microsoft Office Suite (PowerPoint, Excel, etc.). Experience with customer service. Bilingual (English/Spanish) preferred.

Flexible and receptive to change with the ability to learn quickly and retain new information. Highly organized and detail-oriented. Self-motivated team player.

Solutions-oriented thinker. Passion for health care as evidenced by academic or personal pursuits and professional experience. Compensation Statement The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements.

The salary range for this role is $59,895.00 - $89,843.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. Non-Bargaining Unit, 388

• Psych Opd

• MSH, Mount Sinai Hospital

Clinical Patient Support Conduct psychosocial assessments with patients and family caregivers identify barriers to seeking medical/behavioral health care and work with the team and patient/family caregivers to develop a care plan to overcome these barriers and improve health outcomes.

Provide intensive post-discharge follow up with patients and family caregivers to provide support and ensure adherence to care plan with the goal of avoiding preventable avoidable ED visits and re-admissions, and navigate patient through continuum of care.

Provide Social Skills Training, Substance Abuse Treatment, Behavioral Activation, Coping Skills Training, and psychoeducation regarding first episode psychosis (FEP) and the goals of the OnTrackNY program. Provide behavioral interventions and supportive therapy taking an especially active role in the family support domain so that they can serve as the point person for the participant and their family.

Conduct needs assessments and safety planning, and connect participants and families with the services and supports they need; Conduct clinical assessment to determine the participant's level of social functioning and substance use via a shared decision making (SDM) framework.

Provide services in the community (off-site) as needed based on participant and family preferences. Participate in a rotating on-call responsibilities with other team members.

Program Enrollment Outreach to potential candidates of the program for enrollment.

Engage patients and determine eligibility for the program. Maintains an in-depth understanding of the specialty care OnTrackNY models program and patient benefits in order to answer patient questions related to the program requirements, features, employer benefits, etc.

Coordinate the resolution of any patient issue or concern.

Create a network of referral providers based on appropriate criteria. Stays informed of the program developments and modifications and standard levels of care.

Work with participants and family for transition from the team to other services and supports and ensure stable links at discharge.

Continuous Quality Improvement Identify strategies for improving patient outcomes. Identify strategies for preventing avoidable ED visits and readmissions.

Identify opportunities to streamline patient care.