General Manager Integrated Care Management

At Essen Health Care, we care for that.

Essen Health Care is the largest privately held multispecialty medical group in the Bronx, delivering high-quality, compassionate, and accessible care to some of the most vulnerable and underserved communities in New York State. Guided by a population health model, Essen operates six integrated clinical divisions providing house calls, medical services, urgent care, primary care, specialty services, nursing home staffing, and comprehensive care management programs.

Intention Healthcare is the house calls division of Essen Health Care, delivering primary and specialty services directly to patients in their homes. The population served is medically complex and frequently homebound, with chronic disease commonly co-occurring with behavioral health conditions, housing instability, food insecurity, and limited social support. The division currently operates in New York, New Jersey, Massachusetts, and Ohio, and continues to expand into additional markets.

The General Manager, Integrated Care Management, is responsible for the operational leadership, performance management, and scalable execution of Intention Healthcare's integrated care management model, designed to keep some of the most vulnerable patients in our care stable, supported, and out of the hospital.

The role oversees a team of Care Management and RPM Supervisors, each responsible for a set of provider pods and the Integrated Care Coordinators supporting their attributed patient panels. The General Manager is accountable for ensuring that supervisors, coordinators, provider pods, and centralized support teams operate against a common set of expectations for patient engagement, clinical follow-through, documentation compliance, billing readiness, productivity, and provider satisfaction, and for building an operation where every layer of that structure is working, ultimately, on behalf of the patient at the center of it.

This position translates organizational strategy into consistent daily execution across a multi-program, panel-based care model. This is a fully in-person role.

The Integrated Care Management

Care management works when a patient has one consistent point of contact, someone who knows their history, coordinates what needs to happen next, and follows through until it does. For patients managing chronic illness at home, that continuity is often what allows a medication issue to be caught before it becomes an admission, or a housing crisis to be resolved before it becomes a hospitalization.

Every program, workflow, and system in this model exists to support that relationship.

Intention Healthcare's care management model is built on continuity of relationship. Each patient is assigned to a single Integrated Care Coordinator who is accountable for that patient across every program for which they are eligible, rather than assigning patients to separate coordinators by program. This structure is intended to reduce duplicative outreach, consolidate accountability, and allow the coordinator to develop sufficient familiarity with the patient to identify clinical deterioration and unmet need early.

The coordinator serves as the patient's operational point of contact across the care continuum: conducting structured monthly assessments, coordinating appointments and referrals, monitoring medication adherence and remote monitoring data, addressing social determinants of health, and escalating clinical concerns to the treating provider.

Care management activity is funded through Chronic Care Management, Advanced Primary Care Management, Principal Illness Navigation, Community Health Integration, Behavioral Health Integration, Remote Patient Monitoring, and the New York State…