Integrated Care Navigator — Remote/Hybrid

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

Benefits offered by this job

Remote & Hybrid opportunities

Competitive hourly pay

Job summary

Essen Health Care in New York is seeking an Integrated Care Coordinator to link patients with multispecialty services across our network, focusing on underserved communities in the Bronx.

You will develop care plans, coordinate between primary care, specialty services, behavioral health, and community resources, and help patients navigate telehealth, in-home care, and social services, in both English and Spanish.

Qualifications

• High School Diploma is required.
• 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 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/Russian

Communication skills

Public speaking

Travel within Bronx

Community resources

Motivational interviewing

Health coaching

Cultural sensitivity

Education

High School Diploma

Tools

Remote Patient Monitoring

Electronic Health Records (EHR)

Job description

Essen Health Care in New York is seeking an Integrated Care Coordinator to link patients with multispecialty services across our network, focusing on underserved communities in the Bronx.

You will develop care plans, coordinate between primary care, specialty services, behavioral health, and community resources, and help patients navigate telehealth, in-home care, and social services, in both English and Spanish.