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Aco Reach Manager Jobs (NOW HIRING)

Essen Healthcare

$150 - $200/hr

We also provide nursing home support, care management services, and in-home medical services ... Job Summary Join our ACO REACH High Needs team at Intention Essen House Calls as a Nurse ...

INTRINSIA HEALTH LLC

Care Coordinator Field (MA)

Las Vegas, NV · On-site

$18.50 - $25/hr

... the ACO REACH provider * Develop rapport with patients, caregivers, and others in the home or ... Screen patient unmet needs and review charts, labs, and self-management goals in pre-visit chart ...

Astrana Health, Inc.

Senior Analyst - Actuary

Alhambra, CA · On-site

$100K - $135K/yr

Across ACO REACH, MSSP, and the new LEAD model, this role owns the modeling that determines what we ... This role will report to the Senior Manager, Actuary and is open for remote work. Our Values: * Put ...

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Nurse Practitioner & Physician Assistant- ACO for Brooklyn/SI and Bronx/Westchester

Bronx, NY • On-site

Essen Medical Associates
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Essen Medical Associatesexternal

$180K - $220K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 2 days ago

Essen Health Care rating

4.6

Company rating: 4.6 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

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 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.
Job Summary
Join our ACO REACH High Needs team at Intention Essen House Calls as a Nurse Practitioner or Physician Assistant and play a pivotal role in transforming how healthcare is delivered to some of the most complex, high-risk patients in New York. This is more than primary care-it's mission-driven, in-home care that combines clinical excellence with innovation in value-based care. You'll work at the forefront of care delivery, developing personalized treatment plans, preventing avoidable hospitalizations, and collaborating with an interdisciplinary team to improve health outcomes and equity. As part of our ACO, you'll not only care for patients but also help shape a new model of healthcare designed around quality, compassion, and impact.
Responsibilities
  • Provide comprehensive primary care to homebound and high-needs patients attributed to our ACO REACH program.
  • Perform physical exams, record detailed medical histories, and develop evidence-based care plans tailored to patients' clinical and social needs.
  • Diagnose and treat a wide variety of conditions in general practice, with emphasis on chronic disease management and preventive care.
  • Collect, record, and maintain accurate patient data in alignment with ACO documentation, coding, and quality reporting requirements.
  • Order and interpret diagnostic tests, labs, and imaging studies to inform patient care plans.
  • Prescribe and administer appropriate treatments and interventions, including vaccinations and medications.
  • Counsel patients and caregivers on disease prevention, nutrition, lifestyle, and adherence to care plans.
  • Collaborate with interdisciplinary team members-including clinical associates, nurses, and specialists-to support whole-person, coordinated care.
  • Work closely with acute care, paramedicine, and hospital-at-home partners to proactively manage acute conditions and prevent unnecessary hospital admissions.
  • Manage pressure ulcers, wounds, Foley and suprapubic catheters, and provide phlebotomy/IV access as needed.
  • Participate in regular case conferences and patient panel reviews with the ACO team (typically every 3-4 weeks onsite in the Bronx).
  • Provide timely, accurate charting and coding that reflects clinical care and ACO program standards.
  • Share in after-hours coverage of the ACO emergency hotline on a rotating schedule.
  • Ability to work closely and train under PCP's and other specialists to gain additional experience and knowledge
  • Collaboration with dedicated care managers and a Health Home program to assit patients with Social Determinants of Health and to provide social support.

Qualifications
Qualifications
  • Graduate of an accredited NP or PA program.
  • Current New York State license and National Board Certification.
  • Active DEA license.
  • Minimum 3 years of clinical experience, preferably including home-based primary care, geriatrics, or complex chronic care management.
  • Experience with value-based care models (e.g., ACOs, risk-bearing entities, or Medicare programs) strongly preferred.
  • Familiarity with care coordination and quality reporting in ACO or similar programs.
  • EMR/EHR proficiency required.
  • Bilingual (Spanish) strongly preferred.
  • Demonstrated ability to work independently in the home setting while collaborating with a multidisciplinary team.

Salary and Benefits:
Total compensation of $220,000(Base Salary $145,00 with potential performance incentive of $75,000)
Retention bonus after 1-year anniversary of $10,000
Medical, Dental, 401k, FSA, Life insurance and Disability, Malpractice, PTO 4 weeks after 1 year
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.

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