Care Coordinator Job at Medix™, New York, NY

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  • Medix™
  • New York, NY

Job Description

Your responsibilities will include:

  • Transitional Care: Support clients as they move from hospital or rehab settings back into the community—ensuring continuity, safety, and support every step of the way.
  • Care Plan Development and Implementation: Conduct initial and ongoing assessments of clients to document strengths, needs, goals and resources.
  • Connectivity to Care: Schedule and coordinate timely follow-up with primary care and behavioral health providers.
  • Addressing Gaps in Care: Identify missed appointments, medication lapses, or unaddressed needs—and take proactive steps to close the loop.
  • Social Determinants of Health: Connect clients with resources such as housing, food security, transportation, and income/benefits support (SSI/SSD, SNAP, HEAP, etc).
  • Collaborative Care: Work with a network of providers and support agencies to build individualized, person-centered care plans that truly make a difference.
  • Engagement: Provide face to face outreach, engagement, and service planning in the field including clients' homes, shelters, and hospitals
  • Documentation : Maintain documents, records, and other related reports in an organized, timely and accurate manner as per policy and procedure.

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