Clinical Care Coordinator Call Center – CCM​/RPM​/BHI

Overview

Essen Health Care is the largest privately held multispecialty medical group in the Bronx, providing high-quality, compassionate, and accessible medical care to residents of New York State. Our Population Health model includes five integrated clinical divisions offering urgent care, primary care, and specialty services, with telehealth and in-person care at over 35 medical offices and through the Essen House Calls program.

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 delivering ongoing, structured care for patients with chronic and behavioral health conditions.

• Conduct scheduled outbound calls to patients enrolled in CCM, RPM, or BHI programs to support care plan adherence.
• Assist in collecting vitals and patient-reported outcomes related to chronic or behavioral health conditions using standardized scripts and workflows.
• Reinforce care plans, encourage treatment adherence, and address barriers to care (e.g., transportation, medication access).
• Escalate clinical concerns to licensed team members, including RNs, LCSWs, or providers as appropriate.
• Coordinate follow-up care, appointments, or community services based on patient needs.
• Accurately document patient interactions in the care management platform and ensure compliance with CMS program requirements.
• Collaborate with interdisciplinary care teams to support the continuity and quality of care.

• Bachelor’s degree in Public Health, Social Work, Health Administration, or a related field preferred.
• At least 1 year of experience in care coordination, case management, or patient outreach—preferably in a CCM, RPM, or BHI setting.
• Clinical certification such as Medical Assistant (MA), Certified Nursing Assistant (CNA), or similar credential required.
• Familiarity with CMS care management programs (CCM, RPM, BHI) and their documentation requirements preferred.
• Strong interpersonal, organizational, and communication skills.
• Ability to work independently in a high-volume, metrics-driven environment.
• Bilingual a plus.

Salary $18-$21 an hour.

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.