Clinical Care Coordinator Call Center - CCM/RPM/BHI

Overview 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. 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. 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. Job Summary 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. Responsibilities 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. Qualifications 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 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. #J-18808-Ljbffr Essen Health Care