Patient Care Coordinator


Date Posted:
Job Code:
57 Willoughby St Lower Level
57 Willoughby Street
United States of America
Health Services



It is an essential job requirement to be fully vaccinated against COVID-19 for this role. If you need an accommodation of any kind for religious or disability reasons, including related to this job requirement, please contact Human Resources.

Housing Works was founded in 1990; With a long-term commitment to AIDS advocacy. Housing Works established New York State’s first harm reduction-based, OASAS-licensed outpatient drug treatment program. Other services include Health Home care management, behavioral health, and syringe exchange programs. A pioneer in the social entrepreneurship movement, Housing Works operates 13 high-end thrift shops in Manhattan and Brooklyn and a much-loved Bookstore Cafe in Soho. For more information, visit
| Housing Works
Housing Works fights for funding and legislation to ensure that all people living with HIV/AIDS have access to quality housing, healthcare, HIV prevention, and treatment, among other lifesaving services.

We have three comprehensive healthcare plans to choose from based on your priorities and budget. Housing Works covers most of the plan; you pay a portion, based on your salary. Staff begins accruing PTO immediately for a total of up to 30 days earned in the first year. We offer employees an educational benefit. This money is available for tuition loan reimbursement, tuition costs, and text books.
Housing Works provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements. Housing Works complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Housing Works also does not request prior salary information during the hiring process. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
This position is included in a bargaining unit of Housing Works’ New York City employees represented by a labor union known as the Retail Wholesale and Department Store Union (“RWDSU”). Accordingly, the RWDSU has the exclusive right to bargain over the terms and conditions of employment related to this position and this position may become covered by the terms of a collective bargaining agreement (a “CBA”) between Housing Works and the RWDSU

Compensation Range : $23/hr 


Patient Care Coordinator will be responsible for the screening of patients including insurance verification to provide medical case management services for all Primary Care patients.


  • Coordinate the completion of intake screening of patients and identify program eligibility to ADHC, OASAS, Health Home, RAD, OMH, PrEP, and other services as identified
  • Coordinates with Intake Specialist to ensure that PRAPARE including PrEP screening for new and annually patient visits
  • Ensure lead is generate in eicare for new patients
  • Assist with completing sliding scale application for uninsured/underinsured patients
  • Coordinate the enrollment of uninsured patients with insurance including ADAP applications for primary care.
  • Enrollment of patients UND program for any patient identified without connected to PC plus one service.
  • In the absence of the Intake Specialist provides assessment (PRAPARE) and referral services for all clients enrolled in PC, which include but is not limited to, coordination of care and case management referrals
  • Coordinates with care management team for subspecialty and other clinically related referrals made for (All Primary Care clients).
  • Participates in interdisciplinary meetings and transcribe meeting minutes for quality improvement projects.
  • Documents hospitalizations and schedule discharge appointments as needed.
  • Collaborates with OASAS, Health Home, ADHC, Youth and Prevention Services and RAD clinical and support staff to communicate on issues related to clients’ progress and referrals
  • Set up regular on-site meetings with case managers to review status of dually enrolled clients.
  • Documents significant issues that were discussed with regard to client progress.
  • Participates in Morning Huddle, regular medical staff meetings including Quality Improvement.
  • Collaborate with NCC (RN) to create pre-huddle sheets relating to patient needs for provider follow-up
  • Documents clinical interventions in the PC medical records.
  • Coordinates with Ancillary programs such as OMH/ADHC/OASAS to perform client outreach activities.
  • Care coordination ownership unless otherwise designated.
  • Supports and participates in advocacy efforts to end the twin crises of homelessness and AIDS.
  • Assist medical providers with all paperwork needed by clients regarding various needs (i.e. Transportation (2015 Form), Home Health Aide, M 11 Q, HASA, Utilization Threshold, Restriction, Letters, Verifications, etc.)
  • Process paperwork as requested and ensure proper documentation within the EMR.
  • Provide case management programs internal with weekly provider scheduling as well collecting and reporting a list of clients who are no show to appointments at the facility.
  • Monitor patients without case management for Undetectable project, including case conferences and coordination of care.
  • Assist with patient registration process with professionalism and accuracy
  • Performs professional and efficient scheduling of patient appointments
  • Understands the needs of our customers, effectively provides service and or resolves problems, escalate to Clinic Manager or Clinic Director. Dedicated to meeting the expectations of internal and external customers, working to create a positive experience for all
  • Provide coverage for Patient Intake Specialist as needed.
  • Other duties as assigned by either Clinic Director. /Clinic Operations Manager.
  • Understanding and Practice of the Housing Works Core values of Membership, All In, Stronger Together, Membership and High Performance.
  • Understanding while working in a face pace environment with competing priorities may require assisting in other roles as needed.

Minimum Requirements

  • Bachelor’s Degree preferred.
  • The candidate must have a strong knowledge in HIV/AIDS, case management and entitlements.
  • The candidate should be able to perform psychosocial assessments and reassessment and demonstrate the ability to discern medical emergencies and alert the appropriate medical and clinical personnel for assistance and support.
  • Knowledge of HIPAA regulations on requests for medical documents is required.
  • Strong organizational and clinical skills required, proficiency in Spanish, knowledge of EMR systems is preferred.
  • Candidate must be willing to work on weekends and evenings if needed.

Housing Works is a healing community of people living with and affected by HIV/AIDS. Our mission is to end the dual crises of homelessness and AIDS through relentless advocacy, the provision of lifesaving services, and entrepreneurial businesses that sustain our efforts.