General Manager - Care Management Programs, Essen House Calls

Company overview: Essen Health Care is a growing community healthcare network provides 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 services in primary & specialty offices, urgent care centers, and nursing homes, as well as house calls for home bound patients; all clinical services are also offered via telehealth.  Our Care Management division supports patient-centered care through care coordination, complex care management and helping address health-related social needs. 

Founded in 1999, Essen provides care in all five boroughs of New York City, with a primary focus in the Bronx.  Staffed by over 300 primary and specialty care physicians and advanced clinicians, Essen Health Care is one of the largest, most comprehensive private medical groups in New York City.  Essen maintains a Clinical Information Services team that maintains our enterprise-wide electronic medical record system, data repository, clinical analytics and population health capabilities. Our Community Services teams creates and sustains relationship with community organizations and agencies and health plans.

Essen is dedicated to ensuring the quality of care for all patients and has been designated ‘Level 3 Patient Centered Medical Home’ by the National Committee for Quality Assurance. Essen has won awards for its patient care innovations and recently launched Intention Health Ventures to develop and commercialize our technology innovations.

Position Title: General Manager - Care Management Programs, Essen House Calls 

Job Summary 

The General Manager for Care Management Programs at Essen House calls is responsible for the operational and financial oversight of several key Medicare programs, including Advanced Primary Care Model (APCM), Community Health Integration (CHI), Behavioral Health Integration (BHI), and Principal Illness Navigation (PIN). These care management programs are designed to support a more proactive, coordinated, and holistic approach to patient care. By identifying high-risk or high-need patients, closing gaps in care, integrating behavioral health, and addressing social drivers of health, we aim to improve outcomes, enhance the patient experience, and reduce avoidable costs. The Care Manager will provide leadership and supervision to care coordinators responsible for managing patient-centered care plans, ensuring program goals are achieved, and that the programs are in compliance with regulatory standards.  

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. 

 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.  

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. 

Care Management programs specific responsibilities 

• 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.

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- $75,000 Annually

Location: Required to be in Bronx-based office location 5 days a week

ESSEN HEALTH CARE IS PROUD TO BE AN 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.