Paramedic - Acute Home Care (In-Home Visits)

Essen Health Care; New York (NY); On-site; USD 70,000 - 95,000; Full time

Job summary

Essen Health Care in New York City is building an Acute Care at Home program that delivers timely, high-quality acute care to medically complex adults in their homes. Our physician-led team combines paramedics, clinicians, care coordinators, remote monitoring, and community-based services to provide the right care at the right time.

This is not a traditional 911, emergency response, or patient-transport role.

Qualifications

• Current, unrestricted New York State Paramedic certification.
• Current BLS and ACLS certifications.
• At least two years of recent paramedic experience in 911, emergency medicine, critical care transport, mobile integrated health, community paramedicine, or urgent care.
• Strong IV-access, medication-administration, acute-assessment, and clinical-escalation skills.
• Comfort working independently in patients’ homes while staying connected to a remote clinical team.

Responsibilities

• Provide in-home acute assessment and treatment under approved protocols, standing orders, and medical direction.
• Perform focused clinical assessments, including vital signs, symptom review, medication reconciliation, cardiopulmonary assessment, and evaluation for clinical deterioration.
• Establish and maintain peripheral IV access; administer ordered IV fluids and medications.
• Obtain laboratory specimens, initiate remote patient-monitoring equipment, and document care accurately in the electronic medical record.
• Support treatment plans for appropriate acute conditions, including dehydration, infection, cellulitis, respiratory symptoms, and heart-failure exacerbation.
• Communicate clinical findings and treatment response in real time with the supervising physician, advanced practice provider, and interdisciplinary care team.
• Follow defined escalation pathways and activate emergency services immediately when a patient requires a higher level of care.
• Educate patients and caregivers on treatment plans, medications, warning signs, and follow-up needs.
• Maintain field equipment, supplies, and clinical readiness.

Skills

IV access

Vital signs assessment

Medication administration

Independent field work

Remote clinical team coordination

Education

New York State Paramedic Certification

BLS and ACLS certifications

Job description

Essen Health Care in New York City is building an Acute Care at Home program that delivers timely, high-quality acute care to medically complex adults in their homes. Our physician-led team combines paramedics, clinicians, care coordinators, remote monitoring, and community-based services to provide the right care at the right time.

This is not a traditional 911, emergency response, or patient-transport role.