Wayne State University
Coordinator, Linkage-to-Care - Department of Internal Medicine
Detroit, MI, US
Sponsorship not specifiedDetected 40 days ago
Performance ManagementEHR/EMRPublic HealthPatient CareCollaborationMentoring
About the role
- This position ensures patient-centered navigation, care coordination and follow-up services while addressing barriers such as insurance, transportation, stigma, and broader social determinants of health.
- This position reports to the Director, Adult HIV Program.
- Ensure individuals are successfully linked to care and remain engaged in ongoing treatment and disease management based on individual clinical needs and condition.
Responsibilities
- Conduct outreach and follow-up with clients to support engagement and retention in care, including appointment reminders, re-engagement efforts and coordination of follow-up testing and treatment milestones.
- Collaborate with Disease Intervention Specialists, Patient Advocates, and Patient Financial Counselors to ensure effective coordination and delivery of patient care services.
- Participate in continuous quality improvement activities to identify gaps in linkage processes, enhance outcomes, and support program goals related to syndemic care.
- Perform other related duties as assigned.
- This position collaborates with Disease Intervention Specialists, Patient Advocates, and Patient Financial Counselors to ensure the effective coordination and delivery of patient care services.
- Foster a collaborative, high-performing team environment that supports program goals and quality outcomes.
Benefits
- This role serves as a vital connector between testing sites, clinical providers, public health partners, and community-based organizations to close gaps in care and improve health outcomes.
- This role supports syndemic-focused public health and clinical goals by promoting rapid connection to treatment, continuity of care and sustained engagement in prevention and treatment services.
- Serve as a community outreach liaison between public health agencies, hospitals, urgent care facilities and community health organizations to ensure seamless transition of services, information, and continuity of care.
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