Clinical Care Coordinator Call Center – CCM/RPM/BHI

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    "datePosted": "2025-04-07T04:00:00.000Z",
    "description": "<h2>Overview</h2>\n<p><em>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.</em></p>\n<p> </p>\n<p><em>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.</em></p>\n<p> </p>\n<p><em>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.</em></p>\n<h2>Job Summary</h2>\n<p>We are seeking a proactive and compassionate Clinical Call Center Care Coordinator to support patients enrolled in value-based care programs including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI). This non-clinical, call center-based role focuses on patient outreach, care coordination, and supporting clinical teams in the delivery of ongoing, structured care for patients with chronic and behavioral health conditions. </p>\n<h2>Responsibilities</h2>\n<ul>\n <li>• Conduct scheduled outbound calls to patients enrolled in CCM, RPM, or BHI programs to support care plan adherence. </li>\n</ul>\n<ul>\n <li>• Assist in collecting vitals and patient-reported outcomes related to chronic or behavioral health conditions using standardized scripts and workflows. </li>\n</ul>\n<ul>\n <li>• Reinforce care plans, encourage treatment adherence, and address barriers to care (e.g., transportation, medication access). </li>\n</ul>\n<ul>\n <li>• Escalate clinical concerns to licensed team members, including RNs, LCSWs, or providers as appropriate. </li>\n</ul>\n<ul>\n <li>• Coordinate follow-up care, appointments, or community services based on patient needs. </li>\n</ul>\n<ul>\n <li>• Accurately document patient interactions in the care management platform and ensure compliance with CMS program requirements. </li>\n</ul>\n<ul>\n <li>• Collaborate with interdisciplinary care teams to support the continuity and quality of care. </li>\n</ul>\n<h2>Qualifications</h2>\n<ul>\n <li>• Bachelor’s degree in Public Health, Social Work, Health Administration, or a related field. </li>\n</ul>\n<ul>\n <li>• At least 1 year of experience in care coordination, case management, or patient outreach—preferably in a CCM, RPM, or BHI setting. </li>\n</ul>\n<ul>\n <li>• Clinical certification such as Medical Assistant (MA), Certified Nursing Assistant (CNA), or similar credential required. </li>\n</ul>\n<ul>\n <li>• Familiarity with CMS care management programs (CCM, RPM, BHI) and their documentation requirements preferred. </li>\n</ul>\n<ul>\n <li>• Strong interpersonal, organizational, and communication skills. </li>\n</ul>\n<ul>\n <li>• Ability to work independently in a high-volume, metrics-driven environment. </li>\n <li><em>Bilingual a plus</em></li>\n <li> </li>\n <li>Salary: $18-$21 an hour</li>\n</ul>\n<h2>Equal Opportunity Employer</h2>\n<p><strong><em>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.</em></strong></p>",
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