Bilingual Remote/Hybrid Integrated Care Navigator

Essen Healthcare; Knoxville (TN); Hybrid; USD 27,552 - 34,440; Full time

Job summary

Essen Health Care seeks an Integrated Care Coordinator to link patients with medical and social services across our multispecialty network. You will coordinate between primary care, specialty services, behavioral health, and community resources to deliver patient-centered care in underserved Bronx communities.

The role emphasizes breaking down barriers to care, leveraging remote monitoring, and guiding patients through telehealth, in-home, and clinic visits with a focus on quality outcomes.

Qualifications

• High School Diploma and 1–2 years of direct patient care experience.
• Experience in Care Coordination or Case Management.
• Bilingual in Spanish and English preferred; strong communication and public speaking skills.
• Willingness to travel within the Bronx.

Responsibilities

• Develop and maintain comprehensive care plans addressing medical, behavioral, and social determinants of health.
• Coordinate services across Essen's integrated clinical divisions including urgent care, primary care, and specialty services.
• Facilitate smooth transitions between care settings including telehealth, in-person visits, and home care through Essen House Calls.
• Utilize Remote Patient Monitoring tools to track patient progress and address health concerns.
• Monitor patient adherence and adjust interventions based on outcomes.
• Conduct initial assessments to identify patient needs, preferences, and barriers to care.
• Perform community outreach to engage underserved populations in the Bronx.
• Educate patients and families about health conditions, treatment options, and self-management in English and Spanish.
• Support patients in navigating community resources and social services throughout New York City.
• Advocate for patients to ensure access to appropriate services.

Skills

Bilingual Spanish/English

Public speaking

Independent travel

Community resources knowledge

Organizational skills

Cultural sensitivity

Motivational interviewing

Health coaching

Education

High School Diploma

Tools

Electronic Health Records (EHR)

Job description

Essen Health Care seeks an Integrated Care Coordinator to link patients with medical and social services across our multispecialty network. You will coordinate between primary care, specialty services, behavioral health, and community resources to deliver patient-centered care in underserved Bronx communities.

The role emphasizes breaking down barriers to care, leveraging remote monitoring, and guiding patients through telehealth, in-home, and clinic visits with a focus on quality outcomes.