Integrated Care Coordinator (Chinese & Russian Speaking)
About The Position
Essen Health Care is seeking an Integrated Care Coordinator to connect patients with healthcare services and coordinate care across its multispecialty network. The position focuses on reducing barriers to care for underserved populations in the Bronx by coordinating primary care, specialty services, behavioral health, and community resources. The coordinator develops patient-centered care plans, supports transitions among care settings, and helps patients access appropriate services and social supports. The role involves patient outreach and education, remote patient monitoring, and work with a supportive team in a growing medical group.
Requirements
- High school diploma.
- 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 a related field.
- 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
- Fluency in Chinese or Russian is highly preferred.
Responsibilities
- Develop and maintain comprehensive care plans that address medical, behavioral, and social determinants of health.
- Coordinate services across integrated clinical divisions, including urgent care, primary care, and specialty services.
- Facilitate transitions between care settings, including telehealth, in-person medical visits, and home care through Intention Health Care.
- Use 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.
- Conduct community outreach to engage underserved populations in the Bronx.
- Educate patients and families about health conditions, treatment options, and self-management strategies in English and Spanish.
- Help patients navigate community resources and social services throughout New York City.
- Advocate for patients within the healthcare system to ensure access to appropriate services.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
