Paramedic, Acute Care at Home

About the Role

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 Qualifications

• Experience in home-based care, community paramedicine, mobile integrated health, emergency department, or 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.