Clinical Care Coordinator Call Center – CCM/RPM/BHI (Russian & Chinese Speaking)

Essen Health Care; New York (NY); On-site; USD 24,796 - 28,929; Full time

Job summary

A community health organization in New York is seeking a Clinical Call Center Care Coordinator to support patients in value-based care programs like Chronic Care Management and Remote Patient Monitoring. The role involves conducting patient outreach, care coordination, and documentation. The ideal candidate should have a relevant bachelor's degree and at least one year of experience in care coordination. A clinical certification is required, and familiarity with CMS programs is preferred. The position offers a competitive hourly salary between $18-$21.

Qualifications

• 1 year of experience in care coordination, case management, or patient outreach.
• Familiarity with CMS care management programs preferred.

Responsibilities

• Conduct scheduled outbound calls to patients for care plan adherence.
• Assist in collecting vitals and patient-reported outcomes.
• Coordinate follow-up care and appointments as needed.
• Document patient interactions in the care management platform.

Skills

Interpersonal skills

Organizational skills

Communication skills

Ability to work independently

Bilingual

Education

Bachelor’s degree in Public Health, Social Work, Health Administration, or a related field

Clinical certification (MA, CNA)

Job description

Job Overview

We are seeking a proactive and compassionate Clinical Call Center Care Coordinator to support patients enrolled in value-based care programs including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI). This non-clinical, call center-based role focuses on patient outreach, care coordination, and supporting clinical teams in the delivery of ongoing, structured care for patients with chronic and behavioral health conditions.

Responsibilities

• Conduct scheduled outbound calls to patients enrolled in CCM, RPM, or BHI programs to support care plan adherence.
• Assist in collecting vitals and patient-reported outcomes related to chronic or behavioral health conditions using standardized scripts and workflows.
• Reinforce care plans, encourage treatment adherence, and address barriers to care (e.g., transportation, medication access).
• Escalate clinical concerns to licensed team members, including RNs, LCSWs, or providers as appropriate.
• Coordinate follow-up care, appointments, or community services based on patient needs.
• Accurately document patient interactions in the care management platform and ensure compliance with CMS program requirements.
• Collaborate with interdisciplinary care teams to support the continuity and quality of care.

Qualifications

• Bachelor’s degree in Public Health, Social Work, Health Administration, or a related field preferred.
• At least 1 year of experience in care coordination, case management, or patient outreach—preferably in a CCM, RPM, or BHI setting.
• Clinical certification such as Medical Assistant (MA), Certified Nursing Assistant (CNA), or similar credential required.
• Familiarity with CMS care management programs (CCM, RPM, BHI) and their documentation requirements preferred.
• Strong interpersonal, organizational, and communication skills.
• Ability to work independently in a high-volume, metrics-driven environment.
• Bilingual a plus

Salary

Salary $18-$21 an hour

Equal Opportunity Employer

Essen Health Care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.