City/State:

Bronx, New York

Grant Funded:

No

Department:

Transitional Care Excellence

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

9 AM-5:30 PM

Scheduled Daily Hours:

7.5 HOURS

Pay Range:

$51,499.97-$64,374.96

The transitional care research associate is a core member of the Transitional Care Excellence team supporting patients with complex cardiovascular, renal, metabolic, and pulmonary conditions during critical transitions from hospital to home. This role works directly with patients, caregivers, and a multidisciplinary clinical team to ensure safe, supported transitions of care, reduce avoidable hospitalizations, and improve long-term disease outcomes.

Responsibilities

• Participates in the design, conduct, and evaluation of implementation research and cohort studies focusing on transitional care interventions and their associated health outcomes
• Coordinates follow-up appointments with primary care and subspecialty teams, including cardiology, nephrology, and pulmonology
• Follows an assigned cohort and outreaches patients telephonically to ensure effectiveness of interventions
• Collaborates with TCE clinical team to support implementation of care plans and therapies
• Identifies and escalates clinical and social risks, including worsening symptoms, medication access issues, and unmet social needs, to the TCE clinical team
• Assists with implementation of departmental transitional care protocols and pathways
• Supports patients in navigating the healthcare system, including use of patient portals, telemedicine visits, and remote monitoring tools
• Collects qualitative and quantitative data from multiple sources including patients, caregivers, clinicians, and electronic health records
• Analyzes and interprets data in Excel, Power BI or other software

Requirements

• Bachelor’s degree required, life sciences or public health background preferred
• MS Office proficient, Power BI or Tableau experience preferred
• Ability to manage multiple tasks and priorities with exceptional attention to detail
• Bilingual/Spanish-speaking preferred
• Evidence of excellent interpersonal and communication skills, creative problem solving, critical thinking and leadership
• Previously demonstrated ability to facilitate group processes and work cohesively and collaboratively as member of the interdisciplinary team
• Qualified candidates must be able to effectively communicate with all levels of the organization

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.