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Clinical Care Coordinator RPM
Company : Essen Health Care
Location : Bronx, NY, 10461
Job Type : Full Time
Date Posted : 2 January 2026
Overview
At Essen Health Care, we care for that!
As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.
Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!
Job Summary
Job Summary: The Clinical Care Coordinator (CCC) works in collaboration with the primary care provider and all other members of the care team to support chronic disease care management for high-risk, high-need patients in a manner that is medically appropriate and cost effective. As a patient advocate, the CCC is responsible for direct and indirect patient care, helps identify clinical and health-related social needs and connects patients with relevant community resources.
Responsibilities
- Conduct primarily telephonic communication with patients to support the provider in addressing patients’ medical and social needs.
- Occasionally patients in their homes to support proactive and efficient care delivery.
- Serve as the contact, advocate, and informational resource for patients, care team, family/caregiver(s) and community resources.
- Facilitate patient access to appropriate medical and specialty providers.
- Educate and refer patients to community resources.
- Develop a comprehensive, collaborative care plan, based on provider treatment plan, evidence-based chronic care guidelines, and patient/family goals for patients to promote adherence to provider recommendations and instructions.
- Assist with and facilitate the transition of care from inpatient settings such as hospital, rehabilitation facilities and skilled nursing facilities to home.
- Address medication adherence.
- Complete daily tasks such as taking clinical notes, reviewing medical records, following up on care gaps, coordinating chronic disease care, and other duties as assigned.
- Provide education to patients, families/caregivers regarding resources for health care management, and condition exacerbations.
- Communicate changes in patient’s status timely with the care team.
- Work with the Administrative staff to provide feedback that can assist in identifying and improving day-to-day operational processes.
Qualifications
- Proficiency in both English and Spanish (additional languages a plus)
- Medical Degree (International or National)
- Successfully completed Essen Medical Clinical training
- The ability to work independently and exercise clinical judgment in interactions with providers, patients, and their families/caregivers
- Good bedside / telephone-side manner
- Good communication and computer skills, and cooperative attitude
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.
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Frequently asked questions
Bilingual skills, especially English and Spanish, greatly enhance patient communication in the Bronx's diverse population. For Clinical Care Coordinators RPM at Essen Health Care, this proficiency ensures effective care coordination and addresses social determinants impacting patient outcomes in multilingual communities.
Clinical Care Coordinators RPM focus on chronic disease management through telehealth and in-home visits, blending clinical judgment with patient advocacy. Unlike general medical coordinators, they coordinate complex care plans while addressing social needs unique to high-risk patients in Bronx urban healthcare settings.
Essen Health Care’s integrated multispecialty structure fosters career growth, allowing Clinical Care Coordinators RPM to expand into specialized care management or leadership roles. Exposure to telehealth and community resource coordination enhances skillsets valuable for advancing within Bronx's evolving healthcare landscape.
Essen Health Care leverages Clinical Care Coordinators RPM as pivotal patient advocates, bridging clinical and social care. This role facilitates transitions from inpatient settings, supports medication adherence, and connects patients with community resources, thereby improving comprehensive chronic disease management.
The role emphasizes a population health model with telehealth and home visits, supported by a large multispecialty network. Essen’s commitment to vulnerable populations and integrated care teams provides Clinical Care Coordinators RPM with unique opportunities to impact community health beyond standard hospital settings.
Bronx's demand for healthcare coordinators is steadily increasing due to its dense, diverse population and high chronic disease prevalence. Positions like Clinical Care Coordinator RPM at Essen Health Care attract many qualified candidates, making proficiency in bilingual communication and care management essential for standing out.
Clinical Care Coordinators RPM in Bronx typically earn between $60,000 and $75,000 annually, reflecting the specialized skills in chronic disease care and bilingual communication. Essen Health Care offers competitive compensation aligned with the region’s cost of living and healthcare demand.
Yes, Essen Health Care requires completion of its proprietary clinical training program, ensuring Coordinators RPM are well-versed in evidence-based chronic care guidelines and effective telehealth practices tailored to Bronx's patient demographics.
At Essen, Clinical Care Coordinators RPM act as patient liaisons, managing medical and social needs by coordinating with providers and community services. This dual focus promotes adherence to treatment plans and addresses barriers, enhancing overall patient support within Bronx’s underserved communities.
Challenges include navigating language barriers, addressing socioeconomic factors affecting health, and coordinating care across multiple settings. Essen’s supportive environment and robust community resource network equip Coordinators RPM to effectively overcome these hurdles and improve patient engagement.