Research Associate (JR229436

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve. To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please .

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.

• 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

• 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