Integrated Care Coordinator (ICC)

OverviewAbout Essen Health CareAs 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 underserved 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 25-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 40 medical offices and at home through the Essen House Calls program.Essen Health Care is the place Where Care Comes Together! With over 1,100 employees and 600+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. Join our team today!Job SummaryPosition Title: Integrated Care CoordinatorPosition 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 25 years of commitment to innovating healthcare delivery for underserved communities, with opportunities to grow alongside our rapidly expanding multispecialty medical group.ResponsibilitiesKey ResponsibilitiesDevelop and maintain comprehensive care plans addressing medical, behavioral, and social determinants of healthCoordinate services across Essen's integrated clinical divisions including urgent care, primary care, and specialty servicesFacilitate smooth transitions between care settings including telehealth, in-person visits, and home care through Essen House CallsUtilize Remote Patient Monitoring tools to track patient progress and proactively address health concernsMonitor patient adherence to care plans and adjust interventions based on outcomesPatient Engagement & OutreachConduct initial assessments to identify patient needs, preferences, and barriers to carePerform community outreach to engage underserved populations in the BronxEducate patients and families about health conditions, treatment options, and self-management strategies in both English and SpanishSupport patients in navigating community resources and social services throughout New York CityAdvocate for patients within the healthcare system to ensure access to appropriate serviceQualificationsExperience / EducationHigh School Diploma1-2 years of direct patient care experienceExperience in Care Coordination or Case ManagementExperience with Remote Patient MonitoringFamiliarity with Electronic Health Records (EHR)Previous experience in outreach, community engagement, social services, or related fieldSkills & CompetenciesBilingual: Fluent in Spanish and English (Highly preferred)Excellent communication and public speaking skillsAbility to work independently and travel within the BronxKnowledge of community resources and services in New York CityStrong organizational and time management skillsCultural sensitivity and ability to work with diverse, underserved populationsProficiency in motivational interviewing and health coaching techniquesCompensation & BenefitsPay: $20.00 - $25.00 per hourJob Type: Full-timeRemote & Hybrid opportunities available Equal Opportunity EmployerEssen 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.Originally posted on Himalayas