Overview Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents. Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it. We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community. Job Summary Act as the primary point of contact for assigned patients across all enrolled Care Management Programs.o Coordinate with support staff for tasks such as referrals, DME, labs, and diagnostic orders.o Creation of care planso Identification of Gaps in cares.o Track patient progress for all programs (APCM, CHI, PIN, BHI) and update records in eClinicalWorks (eCW)/Ecares.o Monitor adherence to care plans and ensure timely follow-ups.o Proactively identify issues across programs and escalate unresolved or complex cases to the care manager.o Communicate with patients and caregivers to provide updates on all programs. Responsibilities o Maintain accurate documentation of services provided, including time tracking for program billing.o Collaborate with support staff to ensure smooth task execution.o Participate in quality reviews and team meetings to share insights Qualifications Experience:1. 1-2 years of direct patient care experience2. Experience in Care Coordination or Case Management3. Experience with Remote Patient Monitoring4. Familiarity with EHRRate: $20.00 Equal Opportunity Employer Essen 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