Clinical Care Coordinator - Sala Care Coordination Program *MSW & LCSW required*

Allied Health --> Social Work New York, NY • ID: 1162855_RR00120838 • Full-Time/Regular NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health. For more information, go to NYU Langone Health, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, X, YouTube and Instagram. Position Summary: We have an exciting opportunity to join our team as a Clinical Care Coordinator,Sala. In this role, the successful candidate The Care Coordinator leads the psychosocial components of follow up care, including post-discharge assessments, identification to barriers of care, short term adjustment counseling, and connection to community and medical resources. Utilizing a trauma-informed, family-centered approach, the role advocates for patients and families, promotes self-management, and coordinates services over a 3-12 month period. The Care Coordinator collaborates closely with primary care, subspeciality providers and their HCH social workers, integrated behavioral health, and community partners to ensure continuity, alignment of care plans, and improved patient and family outcomes. Job Responsibilities: Psychosocial Assessment, Identification of Barriers, and Resource Identification: Facilitate clear handoff process between inpatient team, family, and Sala Care Coordination team; co-lead discharge rounds to connect with family prior to discharge Conduct robust psychosocial assessment via telehealth within 24-72 hours post-discharge and subsequent psychosocial assessments over subsequent encounters over the following 3-12 months Conduct psychosocial assessments to evaluate needs and challenges Identify and connect patients to community resources tailored to their specific needs Escalate any medical concerns to Nurse Coordinator Assess effectiveness of plan Help facilitate longer-term resource planning and linkage for families who require ongoing supports beyond the immediate post-discharge period Provide short term illness adjustment counseling to support Utilize a family-centered, trauma-informed approach to assess psychosocial stressors and provide supportive counseling to children and families coping with complex illness, hospitalization, and transitions in care Develop individualized plans to alleviate indicated stressors by mobilizing community resources that are pertinent to patient/family needs Provide counseling and interventions concerning: impact of diagnosis, chronic/life threatening illness/treatment, end of life care, impact on education and work, abuse or neglect, parenting, financial supports, impact on family dynamics, mental health, alcohol/substance abuse; health care coverage, and home care services Provision of Resources and Coordinated Services: Connect families to community resources/programs to alleviate psychosocial burdens related to medical, emotional, and economic stressors, including but not limited to: insurance funded home care supports for short and long term care needs, rehabilitation therapies, benefits and entitlements, home and vehicle modifications to accommodate medical needs, family support services, and educational advocacy (e.g., Early Intervention, Pre…