Integrated Care Coordinator (ICC)
简介：埃森医疗保健是纽约最大的私营多专业医疗集团，为一些最脆弱和受困住者提供高质量的同情护理。成立于1999年，我们从单一的初级医疗办公室发展成一个50多个地点网络，从妇女健康到内分泌学和精神病等提供紧急服务，初级医护和专业服务。通过我们的 Esen House Calls 计划，我们还提供养老院支持，护理管理和家庭照顾。根据人口健康模式，我们的500多名提供商团队在个人中，家里或通过远程医疗提供护理，确保患者得到他们需要的支持。我们正在寻找有才华和动机的人加入我们的成长小组。无论你是医疗服务提供者，管理员还是运营专业人员，这里都有职业生涯。加入我们来真正改变社区的健康。工作总结：综合护理协调员职位总结：埃森医疗保健管理部门正在寻求集成护理协调员 (ICC) 为为患有复杂慢性病症的患者提供全面护理协调服务，包括那些注册于纽约州卫生家庭计划的人。ICC 是 Esen 的护理管理团队的一个核心成员，负责确保需要高的病人在医学，行为健康和社会服务系统中得到协调，全人照顾。随着埃森继续扩大其护理管理部门，国际刑事法院可能支持该部门内的额外的基于证据的护理项目，符合他们的资格和组织需求。责任 健康家庭 复杂护理管理 （初级）• 管理纽约州卫生家庭计划中注册的患者的积极案例负载，专注于家居和医疗复杂的人员•开展全面评估并制定针对医学，行为健康，住房和社会决定因素的个性化护理计划•定期提供宣传，监测和跟踪以确保护理计划实施和参与病人•协调初级保健，专业护理，行为健康服务提供者以及社区组织来弥合护理差距•保持符合 NYSDOH 健康家庭计划标准的及时准确的文档•参加护理团队会议，进行案件会议 其他国家：
查看英文原文
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
Position Title: Integrated Care Coordinator
Position Summary: Essen Health Care's Care Management Division is seeking an Integrated Care Coordinator (ICC) to provide comprehensive care coordination services to patients with complex chronic conditions, including those enrolled in the New York State Health Home program.
The ICC is a core member of Essen's care management team, responsible for ensuring that high-need patients receive coordinated, whole-person care across medical, behavioral health, and social service systems. As Essen continues to expand its Care Management Division, ICCs may support additional evidence-based care management programs within the division, consistent with their qualifications and the needs of the organization.
Responsibilities
Health Home — Complex Care Management (Primary)
• Manage an active caseload of patients enrolled in the New York State Health Home program, with a focus on homebound and medically complex individuals• Conduct comprehensive assessments and develop individualized care plans that address medical, behavioral health, housing, and social determinants of health• Provide regular outreach, monitoring, and follow-up to ensure care plan implementation and patient engagement• Coordinate across primary care, specialty care, behavioral health providers, and community-based organizations to close gaps in care• Maintain timely, accurate documentation in compliance with NYSDOH Health Home program standards• Participate in care team meetings, case conferences, and quality improvement activities• Support patients in navigating insurance, benefits, and community resources
Care Management Program Support (As Assigned)
Consistent with the Care Management Division's integrated model, ICCs may also be assigned to support patients in additional care management programs offered through Essen Health Care. These assignments are made based on the coordinator's qualifications, experience, and program need, and include activities such as:
• Chronic disease monitoring and patient engagement under Medicare and Medicaid care management programs• Preventive care outreach and care gap closure for primary care patient populations• Care transition support, including scheduling coordination and documentation for patients moving between care settings• Patient enrollment and onboarding for care management program participants
Qualifications
Qualifications
Required
- Bachelor's degree in Social Work, Nursing, Public Health, Health Education, or a related field — or equivalent professional experience
- Minimum 1–2 years of experience in care management, case management, or healthcare coordination
- Knowledge of the New York State Health Home program, Medicaid managed care, or community-based care services
- Strong patient communication skills with demonstrated ability to engage medically complex or vulnerable populations
- Ability to manage a patient caseload with organized documentation and consistent follow-through
- Proficiency with electronic health records (EHR) and care management platforms
Preferred
- Active clinical or care management credential: LMSW, RN, LPN, CHW, or equivalent
- Experience with chronic disease management, behavioral health integration, or homebound patient populations
- Bilingual in Spanish, Mandarin, Cantonese, or another language serving Essen's patient communities
- Familiarity with Medicare and Medicaid care management programs including CCM, BHI, RPM, or APCM
- Background in patient outreach, enrollment, or community health work
Compensation & Benefits
- Pay: $20.00 - $25.00 per hour
- Job Type: Full-time
- Remote & Hybrid opportunities available (Subject to change)
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.
Originally posted on Himalayas