Responsibilities
- Create and update detailed care plans that cover medical, behavioral, and social health factors
- Organize services across Essen's integrated clinical divisions such as urgent care, primary care, and specialty services
- Ensure seamless transitions between care settings including telehealth, in-person visits, and home care via Essen House Calls
- Use Remote Patient Monitoring tools to track patient progress and address health issues proactively
- Track patient adherence to care plans and modify interventions based on results
- Perform initial assessments to identify patient needs, preferences, and obstacles 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 both English and Spanish
- Help patients navigate community resources and social services throughout New York City
- Advocate for patients within the healthcare system to ensure they receive appropriate services
Nice to Have
- Bilingual: fluent in Spanish and English (highly preferred)
- 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
Work Arrangement
Hybrid — Bronx
Other
- Bilingual: Fluent in Spanish and English (Highly preferred)
- Ability to travel within the Bronx
- Remote & Hybrid opportunities available
