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.

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. 

• →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. 

• 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. 

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. 

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