Nurse Practitioner & Physician Assistant- ACO for Brooklyn/SI and Bronx/Westchester

Essen Medical Associates; New York (NY); On-site; USD 145,000 - 220,000; Full time

Benefits offered by this job

Medical

Dental

401k

Life insurance

Disability

PTO 4 weeks after 1 year

Retention bonus of $10,000 after 1 year

Job summary

Essen Medical Associates is seeking a Nurse Practitioner or Physician Assistant for their ACO REACH High Needs team. In this role, you will provide home-based primary care, manage chronic conditions, and collaborate with an interdisciplinary team.

Ideal candidates will have clinical experience, New York licenses, and a commitment to innovative patient care. Benefits include a total compensation of $220,000 and retention bonuses.

Qualifications

• Minimum 3 years of clinical experience, especially in geriatrics or complex care.
• Experience with value-based care models is preferred.
• Demonstrated ability to work independently in home settings.

Responsibilities

• Provide comprehensive primary care to high-needs patients.
• Develop evidence-based care plans tailored to patient needs.
• Collaborate with interdisciplinary team for coordinated care.
• Manage and prevent complications in chronic disease patients.

Skills

Clinical experience in home-based primary care

Collaboration with multidisciplinary teams

Patient counseling on disease prevention

Proficiency in EMR/EHR

Bilingual (Spanish)

Education

Graduate of an accredited NP or PA program

Current New York State license

National Board Certification

Active DEA license

Job description

Overview

At Essen Health Care, we care for that!

As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.

Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!

Job Summary

Join our ACO REACH High Needs team at Intention Essen House Calls as a Nurse Practitioner or Physician Assistant and play a pivotal role in transforming how healthcare is delivered to some of the most complex, high-risk patients in New York. This is more than primary care—it’s mission-driven, in-home care that combines clinical excellence with innovation in value-based care. You’ll work at the forefront of care delivery, developing personalized treatment plans, preventing avoidable hospitalizations, and collaborating with an interdisciplinary team to improve health outcomes and equity. As part of our ACO, you’ll not only care for patients but also help shape a new model of healthcare designed around quality, compassion, and impact.

Responsibilities

• Provide comprehensive primary care to homebound and high-needs patients attributed to our ACO REACH program.

• Perform physical exams, record detailed medical histories, and develop evidence-based care plans tailored to patients’ clinical and social needs.

• Diagnose and treat a wide variety of conditions in general practice, with emphasis on chronic disease management and preventive care.

• Collect, record, and maintain accurate patient data in alignment with ACO documentation, coding, and quality reporting requirements.

• Order and interpret diagnostic tests, labs, and imaging studies to inform patient care plans.

• Prescribe and administer appropriate treatments and interventions, including vaccinations and medications.

• Counsel patients and caregivers on disease prevention, nutrition, lifestyle, and adherence to care plans.

• Collaborate with interdisciplinary team members—including clinical associates, nurses, and specialists—to support whole-person, coordinated care.

• Work closely with acute care, paramedicine, and hospital-at-home partners to proactively manage acute conditions and prevent unnecessary hospital admissions.

• Manage pressure ulcers, wounds, Foley and suprapubic catheters, and provide phlebotomy/IV access as needed.

• Participate in regular case conferences and patient panel reviews with the ACO team (typically every 3–4 weeks onsite in the Bronx).

• Provide timely, accurate charting and coding that reflects clinical care and ACO program standards.

• Share in after-hours coverage of the ACO emergency hotline on a rotating schedule.

• Ability to work closely and train under PCP's and other specialists to gain additional experience and knowledge.

• Collaboration with dedicated care managers and a Health Home program to assist patients with Social Determinants of Health and to provide social support.

Qualifications

• Graduate of an accredited NP or PA program.

• Current New York State license and National Board Certification.

• Active DEA license.

• Minimum 3 years of clinical experience, preferably including home-based primary care, geriatrics, or complex chronic care management.

• Experience with value-based care models (e.g., ACOs, risk-bearing entities, or Medicare programs) strongly preferred.

• Familiarity with care coordination and quality reporting in ACO or similar programs.

• EMR/EHR proficiency required.

• Bilingual (Spanish) strongly preferred.

• Demonstrated ability to work independently in the home setting while collaborating with a multidisciplinary team.

Salary and Benefits:

Total compensation of $220,000 (Base Salary $145,000 with potential performance incentive of $75,000)

Retention bonus after 1-year anniversary of $10,000

Medical, Dental, 401k, FSA, Life insurance and Disability, Malpractice, PTO 4 weeks after 1 year

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.