**Req Number** 166751 Job Description Manages chronically ill patients through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes. Job Responsibility + Provides direct services to patients including the completion of needs assessments, development of patient focused care plans, periodic reassessments and overall comprehensive service coordination. + Advocates the requirements of clients within the agency and with external service providers. + Assists providers, medical assistants, nurses, behavioral health providers, social workers, etc. by coordinating all aspect of care inclusive of appointments, referrals, adherence, specialty care, etc. + Acts as the primary channel transmission of information between providers and patients. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification + Bachelor of Science in Nursing required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. + 6-8 years of relevant experience and 2-5 years of leadership / management experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $100,000-$160,000/year It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.