Integrated Care Navigator - Remote/Hybrid

Essen Medical Associates; New York (NY); Hybrid; USD 28,000 - 34,000; Full time

Benefits offered by this job

Remote work options

Hybrid work options

Full-time employment

Job summary

Essen Health Care in New York seeks an Integrated Care Coordinator to connect patients with primary, specialty, behavioral health, and community resources across our multispecialty network in the Bronx. You will develop care plans, coordinate across divisions, support transitions between telehealth and in-person visits, and engage underserved populations.

Fluency in Chinese or Russian preferred; bilingual candidates encouraged.

Qualifications

• High School Diploma
• 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 Intention's integrated clinical divisions including urgent care, primary care, and specialty services
• Facilitate smooth transitions between care settings including telehealth, in-person medical visits, and home care through Intention Health Care
• 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
• 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

Skills

Bilingual: Chinese or Russian

Excellent communication

Public speaking

Time management

Motivational interviewing

Health coaching

Education

High School Diploma

Tools

Electronic Health Records (EHR)

Job description

Essen Health Care in New York seeks an Integrated Care Coordinator to connect patients with primary, specialty, behavioral health, and community resources across our multispecialty network in the Bronx. You will develop care plans, coordinate across divisions, support transitions between telehealth and in-person visits, and engage underserved populations.

Fluency in Chinese or Russian preferred; bilingual candidates encouraged.