Clinical Care Manager

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. 

Job Summary

The Care Manager for the Care Management Programs (APCM, PIN, CHI, BHI, and CCM) is driven by the need for strategic oversight of care coordination efforts. The Care Manager will provide leadership and supervision to care coordinators responsible for managing patient-centered care plans, ensuring program goals are achieved. This role is vital for maintaining high-quality care, improving patient outcomes, and ensuring compliance with regulatory standards across all care management programs.

Responsibilities

 Oversight of Care Coordination:

 

· Provide leadership and direction to care coordinators responsible for patient-centered care plans.

· Review care coordinators' activities to ensure compliance with established protocols and regulatory requirements.

· Monitor the quality and effectiveness of care coordination to ensure alignment with program goals.

  Team Leadership and Supervision:

· Hire, train, and mentor care coordinators, fostering professional development and accountability.

· Conduct regular performance evaluations and provide feedback to improve team effectiveness. 

Program Oversight:  Oversee operations for APCM, PIN, CHI, BHI, and CCM programs, ensuring integration across care management initiatives. · Monitor program metrics and outcomes, implementing changes to improve performance and patient satisfaction.

Patient Engagement and Advocacy:  Ensure care coordinators are effectively engaging patients and addressing barriers to care.  Advocate for the integration of community and behavioral health resources into care plans.

APCM (Advanced Primary Care Management): · Oversee care management strategies to support patients with chronic conditions, ensuring preventive measures and care plans are executed.

PIN (Principal Illness Navigation): · Guide care coordinators in managing navigation of complex illnesses, ensuring timely referrals and interventions.

CHI (Community Health Integration): Ensure care coordinators collaborate with community organizations to address social determinants of health, such as housing, food security, and transportation.

BHI (Behavioral Health Integration): · Supervise the integration of behavioral health services into care plans, ensuring collaboration between mental health providers and care coordinators.

CCM (Chronic Care Management): · Oversee the management of chronic care plans, ensuring care coordinators effectively track and document patient progress.

Quality Assurance and Compliance

Qualifications

Educational Qualifications:

 

Bachelor’s Degree in Healthcare Administration or Bachelor’s Degree in Nursing (BSN) or Associate Degree in Nursing (ADN) or International Medical Graduate, or a related field (required) 

Professional Skills:  Strong leadership and supervisory skills with the ability to mentor and guide care coordinators.  Expertise in program evaluation, quality improvement, and process optimization. Knowledge of healthcare regulations, including Medicare, Medicaid, and HIPAA compliance. 

Preferred Certifications:  Case Manager Certification (CCM).  Certification in Population Health Management or Behavioral Health Integration.

 

Key Competencies:

· Familiarity with care management software, data analytics, and population health tools.

· Strong documentation skills and attention to detail for compliance and reporting.

 

Pay Rate $65,000.00- $.70,000.00 Annually

Location: 1371 Seabury ave, Bronx New York

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.