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Full/Part Time: Full Time
Location/Affiliates: Mount Sinai Medical Center (Manhattan)
Department: 186 - Social Services
Requisition Number: 13-1579380
Due to the success of the IMA PACT Clinic for high risk patients, this program is again expanding its patient population and adding a third social worker. The assigned social worker will work in conjunction with nurse practitioners and physicians to provide care coordination to high risk patients. The role will be to collaborate closely with the referring PACT social worker or other referrer to facilitate the patient's transition to the IMA PACT Clinic, to meet with the referred patients and their families at the IMA PACT Clinic on the day of the first follow-up appointment and all subsequent appointments and to provide on-going phone contact and/or home visits if indicated with the patient and the family to address medical and social needs that can be addressed in the community. The PACT social workers are part of the Health Home initiative to provide care coordination for these patients and collaborate closely with Mount Sinai Care (Mount Sinai's Accountable Care Organization) and GEDI-Wise, the Emergency Department program for patients 65 and older.
New York State LMSW or LCSW required
Exceptional skills in engaging patients and families.
Exceptional skills in assessment and coordination of resources within families and hospital and community networks for effective management of patient care.
Exceptional organizational, collaborative and psychosocial assessment and intervention skills.
Interest in being part of an innovative primary care initiative for high risk patients.
Hospital experience and experience with geriatric patients preferred.
Mount Sinai Medical Center is an equal opportunity/affirmative action employer. We recognize the power and importance of a diverse employee population and strongly encourage applicants with various experiences and backgrounds. Mount Sinai Medical Center--An EEO/AA-D/V Employer.