Integrated Care Coordinator (Chinese & Russian Speaking)
About The Position
The Integrated Care Coordinator serves as a link between patients and healthcare services, coordinating care across a multispecialty network. The role focuses on reducing barriers to care for underserved populations in the Bronx by coordinating primary care, specialty services, behavioral health, and community resources. The coordinator develops and maintains comprehensive care plans addressing medical, behavioral, and social determinants of health, and supports patients across telehealth, in-person visits, and home care. The position also involves remote patient monitoring, patient outreach and education, and helping patients navigate community resources and social services throughout New York City. Remote and hybrid opportunities are available.
Requirements
- High school diploma.
- 1–2 years of direct patient care experience.
- Experience in care coordination or case management.
- Experience with Remote Patient Monitoring.
- Familiarity with Electronic Health Records (EHR).
- Excellent communication and public speaking skills.
- Ability to work independently and travel within the Bronx.
- Knowledge of community resources and services in New York City.
- Strong organizational and time management skills.
- Cultural sensitivity and ability to work with diverse, underserved populations.
- Proficiency in motivational interviewing and health coaching techniques.
Nice To Haves
- Fluency in Chinese or Russian; bilingual ability is highly preferred.
- Previous experience in outreach, community engagement, social services, or a related field.
Responsibilities
- Develop and maintain comprehensive care plans addressing medical, behavioral, and social determinants of health.
- Coordinate services across integrated clinical divisions, including urgent care, primary care, and specialty services.
- Facilitate transitions between care settings, including telehealth, in-person medical visits, and home care.
- Use Remote Patient Monitoring tools to track patient progress and proactively address health concerns.
- Monitor patient adherence to care plans and adjust interventions based on outcomes.
- Conduct initial assessments to identify patient needs, preferences, and barriers to care.
- Perform community outreach to engage underserved populations in the Bronx.
- Educate patients and families about health conditions, treatment options, and self-management strategies in English and Spanish.
- Support patients in navigating community resources and social services throughout New York City.
- Advocate for patients within the healthcare system to ensure access to appropriate services.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
