INTEGRATED CARE COORDINATOR, INTENTION HEALTHCARE

Essen Healthcare; New York (NY); On-site; USD 30,000 - 34,000; Full time

Benefits offered by this job

Competitive pay

Full-time role

Job summary

Essen Health Care in New York is seeking an Integrated Care Coordinator for the Intention Healthcare program. The role links patients to primary, specialty, and behavioral health services, coordinating across care settings to improve outcomes for underserved communities in the Bronx.

Responsibilities include developing care plans, managing transitions between telehealth, in-person visits, and home care, and engaging patients with English and Spanish outreach to navigate community resources in

Qualifications

• 1-2 years of direct patient care experience
• Experience in Care Coordination or Case Management
• Experience with Remote Patient Monitoring
• Familiarity with Electronic Health Records (EHR)
• Previous experience in outreach, community engagement, social services, or related field

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 proactively address health concerns
• Monitor patient adherence to care plans and adjust interventions based on outcomes
• Scheduling and coordination: book appointments for established Intention patients with physicians, specialists, and other healthcare providers in HouseCall Smart Scheduling Tool and/or CW
• Outbound calls to HC patients to schedule, remind, and follow-up on appointments
• Data management – collect and verify patient demographics, insurance information, and medical history, update records in EHR
• Insurance verification – confirm coverage and manage pre-authorizations and copays
• Administrative duties – clerical tasks like faxing, filing, and maintaining a clean workspace
• Bilingual outreach and education in English and Spanish

Skills

Bilingual: Spanish & English

Care Coordination

Remote Patient Monitoring

EHR familiarity

Travel to Bronx

Education

Bachelor's degree preferred

Tools

HouseCall Smart Scheduling Tool

CW scheduling tool

EHR system

Job description

Overview

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents.

Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry.

We also provide nursing home support, care management services, and in-home medical services through our House Calls Division, Intention Health Care and facilitate smooth transitions between care settings including telehealth, in-person medical visits, and home care through Intention Health Care. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community.

Job Summary

Title: Integrated Care Coordinator, Intention Healthcare

Position Summary: The Integrated Care Coordinator serves as a vital link between patients and healthcare services, ensuring seamless coordination across our multispecialty network. This role focuses on breaking down barriers to care for underserved populations in the Bronx, coordinating between primary care, specialty services, behavioral health, and community resources to deliver comprehensive, patient-centered care.

This position is ideal for individuals looking to make a meaningful impact in the healthcare field while working in a supportive team environment. You'll be part of an organization that has demonstrated over 25years of commitment to innovating healthcare delivery for underserved communities, with opportunities to grow alongside our rapidly expanding multispecialty medical group.

Responsibilities

Key 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 proactively address health concerns

• Monitor patient adherence to care plans and adjust interventions based on outcomes

Patient Engagement & Outreach

• 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 strategies in both English and Spanish

• Support patients in navigating community resources and social services throughout New York City

• Advocate for patients within the healthcare system to ensure access to appropriate service

• Bachelor's degree preferred

• Relevant certifications in healthcare, social services, or related field considered

Cross-Functional Position – HC Scheduling Department

Key Responsibilities

• Scheduling and coordination: Bookappointmentsfor established Intention patientswith physicians, specialists, and other healthcare providersinHouseCall Smart Scheduling Tooland/oreCW.

• Add,cancelor make changes to appointments and resolve appointment conflicts for staff and customers or clients.

• Outbound calls to HC patients in order to schedule, remind, and follow-up on appointments.

• Data Management – Collecting and verifying patientdemographics, insurance information, and medical history, and updating patient records in our EHR system.

• Insurance Verification – Confirming insurance coverage, checking for necessary pre-authorizations, and collecting copays or otherpayments.

• Administrative duties – Perform general clerical tasks like faxing, filing, andmaintaininga clean and organized working environment.

Qualifications

Qualifications

• 1-2 years of direct patient care experience

• Experience in Care Coordination or Case Management

• Experience with Remote Patient Monitoring

• Familiarity with Electronic Health Records (EHR)

• Previous experience in outreach, community engagement, social services, or related field

Skills & Competencies

• Bilingual: Fluent in Spanish and English (Required)

• Excellent communication and public speaking skills

• Ability to work independently and travel within the Bronx

• Knowledge of community resources and services in New York City

• Strong organizational and time management skills

• Cultural sensitivity and ability to work with diverse, underserved populations

• Proficiency in motivational interviewing and health coaching techniques

Compensation & Benefits

• Pay: $22.00 - $25.00 per hour

• Job Type: Full-time

Equal Opportunity Employer

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