Paramedic, Acute Care at Home

Essen Medical AssociatesNew York, NY
$30 - $35Onsite

About The Position

Essen Health Care 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. As a Paramedic on our Acute Care at Home team, you will bring strong clinical assessment and IV skills directly to patients, working under established protocols and real-time medical direction. Transportation between patient visits is provided by a dedicated driver—no personal vehicle is required.

Requirements

  • 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 closely connected to a remote clinical team.
  • Ability to use mobile technology, electronic medical records, and remote-monitoring tools.

Nice To Haves

  • Experience in home-based care, community paramedicine, mobile integrated health, emergency department, critical care transport; bilingual English/Spanish or other language skills relevant to the communities we serve.

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.
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