Paramedic, Acute Care at Home

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 services, and in-home medical services through our House Calls Division, Intention Health Care and Facilitate smooth transitions between care settings including telehealth, in-person medical visits, and home care through Intention Health Care. 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.

Bring Acute Care to the Patient 

Essen Health Care is building an Acute Care at Home program that delivers timely, high-quality acute care to medically complex adults in their homes. Our physician-led team combines paramedics, clinicians, care coordinators, remote monitoring, and community-based services to provide the right care at the right time. 

This is not a traditional 911, emergency response, or patient-transport role. As a Paramedic on our Acute Care at Home team, you will bring strong clinical assessment and IV skills directly to patients, working under established protocols and real-time medical direction. 

Transportation between patient visits is provided by a dedicated driver—no personal vehicle is required. 

What You’ll Do 

• Provide in-home acute assessment and treatment under approved protocols, standing orders, and medical direction. 

• Perform focused clinical assessments, including vital signs, symptom review, medication reconciliation, cardiopulmonary assessment, and evaluation for clinical deterioration. 

• Establish and maintain peripheral IV access; administer ordered IV fluids and medications. 

• Obtain laboratory specimens, initiate remote patient-monitoring equipment, and document care accurately in the electronic medical record. 

• Support treatment plans for appropriate acute conditions, including dehydration, infection, cellulitis, respiratory symptoms, and heart-failure exacerbation. 

• Communicate clinical findings and treatment response in real time with the supervising physician, advanced practice provider, and interdisciplinary care team. 

• Follow defined escalation pathways and activate emergency services immediately when a patient requires a higher level of care. 

• Educate patients and caregivers on treatment plans, medications, warning signs, and follow-up needs. 

• Maintain field equipment, supplies, and clinical readiness. 

What You Bring 

• Current, unrestricted New York State Paramedic certification. 

• Current BLS and ACLS certifications. 

• At least two years of recent paramedic experience in 911, emergency medicine, critical care transport, mobile integrated health, community paramedicine, or urgent care. 

• Strong IV-access, medication-administration, acute-assessment, and clinical-escalation skills. 

• Comfort working independently in patients’ homes while staying closely connected to a remote clinical team. 

• Ability to use mobile technology, electronic medical records, and remote-monitoring tools. 

Preferred: Experience in home-based care, community paramedicine, mobile integrated health, emergency department, critical care transport; bilingual English/Spanish or other language skills relevant to the communities we serve. 

Work Environment 

This is a mobile, field-based role serving patients in their homes throughout the New York City metropolitan area. You must be able to safely perform in-home clinical assessments and treatments and move and set up clinical supplies and equipment. 

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