Integrated Care Coordinator, Intention Healthcare
About The Position
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 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 Summary Title: Integrated Care Coordinator, Intention Healthcare Position 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 2 5 years of commitment to innovating healthcare delivery for underserved communities, with opportunities to grow alongside our rapidly expanding multispecialty medical group.
Requirements
- 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
- Bilingual: Fluent in Spanish and English (Required)
- Excellent communication and public speaking skills
- Ability to work independently and travel within the Bronx
- Knowledge of community resources and services in New York City
- Strong organizational and time management skills
- Cultural sensitivity and ability to work with diverse, underserved populations
- Proficiency in motivational interviewing and health coaching techniques
Nice To Haves
- Bachelor's degree preferred
- Relevant certifications in healthcare, social services, or related field considered
Responsibilities
- Develop and maintain comprehensive care plans addressing medical, behavioral, and social determinants of health
- Coordinate services across Essen's integrated clinical divisions including urgent care, primary care, and specialty services
- Facilitate smooth transitions between care settings including telehealth, in-person visits, and home care through Essen House Calls
- 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
- Book appointments for established Intention patients with physicians, specialists, and other healthcare providers in House Call Smart Scheduling Tool and/ or eCW
- Add, cancel or make changes to appointments and resolve appointment conflicts for staff and customers or clients.
- Outbound calls to HC patients in order to schedule, remind, and follow-up on appointments.
- Collecting and verifying patient demographics , insurance information, and medical history, and updating patient records in our EHR system
- Confirming insurance coverage, checking for necessary pre-authorizations, and collecting copays or other payments.
- Perform general clerical tasks like faxing, filing, and maintaining a clean and organized working environment.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
