Integrated Care Coordinator (ICC)

Integrated Care Coordinator The Integrated Care Coordinator serves as a vital link between patients and healthcare services, ensuring seamless coordination across our multispecialty network. This role focuses on breaking down barriers to care for underserved populations in the Bronx, coordinating between primary care, specialty services, behavioral health, and community resources to deliver comprehensive, patient-centered care. This position is ideal for individuals looking to make a meaningful impact in the healthcare field while working in a supportive team environment. You'll be part of an organization that has demonstrated over 25 years of commitment to innovating healthcare delivery for underserved communities, with opportunities to grow alongside our rapidly expanding multispecialty medical group. Responsibilities Key Responsibilities Develop and maintain comprehensive care plans addressing medical, behavioral, and social determinants of health Coordinate services across Essen's integrated clinical divisions including urgent care, primary care, and specialty services Facilitate smooth transitions between care settings including telehealth, in-person visits, and home care through Essen House Calls Utilize Remote Patient Monitoring tools to track patient progress and proactively address health concerns Monitor patient adherence to care plans and adjust interventions based on outcomes Patient Engagement