nurse practitioner

physician assistant

physician

licensed clinical social worker

social worker

Essen Health Care

What is the best part of working at the company?
Ah, Essen Medical. Where to begin? It's a company that makes you wonder if they're actually trying to provide healthcare services or if they're just playing a game of "let's see how many employees we can lose this month".

The turnover rate is so high, it's like a revolving door of confused faces. You walk in and immediately wonder if anyone actually knows what they're doing. I mean, I'm pretty sure even the receptionist has no idea what the company's vision is.

And don't even get me started on the urgent care patients. They get seen by scribes because the providers are never in the office. It's like they're on a permanent vacation, except they're not on a beach sipping margaritas, they're just not there.

But the real kicker is the operations department. It's like a scene out of a prison movie. You feel like you're being watched constantly and you're afraid to step out of line, lest you get fired without notice. And let's not forget the bloated company structure with no quality to show for it. It's like they're trying to fill a swimming pool with a leaky bucket.

In conclusion, if you're looking for a job that's a complete joke, Essen Medical is the place for you. You'll never know what the company's goals are, you'll be lucky if you get to see a provider, and if you dare to dream of progressing, you'll be out on your ear faster than you can say "overly bloated". But hey, at least it's a funny kind of serious.

What is the most stressful part about working at the company?
It sounds like working at Essen Medical can be quite stressful due to the lack of job security and the chaotic day-to-day operations.

The fact that employees never know when they might be fired can create a very uncertain and stressful work environment. It's understandable that not knowing whether you'll have a job from one day to the next would cause a lot of anxiety and make it difficult to focus on your work.

In addition, it seems that the day-to-day operations at Essen can be quite challenging. Juggling multiple tasks and dealing with chaos on a regular basis can be mentally exhausting and lead to burnout over time. It's important for companies to have clear processes and procedures in place to help employees manage their workload and minimize stress.

Overall, it's clear that working at Essen Medical can be a challenging and stressful experience for many employees. It's important for employers to provide their staff with clear expectations, support, and job security to create a positive and productive work environment.

What is the work environment and culture like at the company?
Not productive and very negative environment

Pay & benefits
The pay is extremely low for the amount of work that you do. They will give you multiple tasks that is not in your job description but they won’t Compensate you for any of it. You are always expected to do what they ask, you will start to get overwhelmed especially since you are aware that your check wound reflect the amount of work that you do. The pay should be more than 16 hr especially since they won’t people to either have a bachelors degree or be in school.

Job security and advancement
There is no growth within this company. You can work at your position for 5 plus years making 15-18 an hour doing all of this work and you will not get promoted. If you decide to go to another department you will have to start at the bottom all over again even if you worked for the company for a while. It’s extremely hard to become an manager at this company. They want all of their managers and employees to be yes men and do whatever they say. If you are outspoken and have stand up for yourselves they would never promote you.

Management
The management is extremely horrible at Essen. They claim to have an open door policy but that is not the case. They don’t have your best interest at heart or really care about their employees. Everyone is for self there. They will throw you under the bus just so that they are not painted out to be wrong or the bad guy.

Culture
The job is extremely fast past and you have to be able to learn the work fast. Providers are always coming in and there is always work to be done. If you don’t under something you can ask but after a while you are required to know the work with minimal training.

Overall
I would not recommend working for this company if you want a peaceful work environment, if you want to growth within a company or simply want to be paid a decent wage. This company does not pay for holidays. You get a pool of days that you can use that you have to accumulate over time. If you like a fast paced environment and don’t mind not getting along with management then this is the job for you. If you just want to gain some experience but know you won’t stay at the company for long this the job for you. You can learn a lot about credentialing with this job and can learn a lot of skills. This is a great place to start but it’s not a place to advance your career. Stay for 6 months to a year and get out.

The Health Home Department at Essen Healthcare is an IMG-Friendly place to work at. You will learn how to navigate the process of care coordination with Medicaid patients enrolled in the Health Home program. You will work with a diverse group of coworkers including age, nationality, race, education, and work experience. You will learn about Social Determinants of Health. You will gain experience working with a high-risk population that is underprivileged and under-resourced living with multiple chronic diseases and conditions. This is a great opportunity to gain US Clinical Experience for IMGs if that is your intention of pursuing the opportunity, but do not stay more than 2-4 months if you are treated unfairly or disrespected, made to work with unfavorable conditions, or have to deal with a supervisor that is micromanaging, unappreciative, and displays toxic masculinity. Training is provided but is only an overview of the role, and insufficient to actually get the job done. The pay is terrible considering the amount of workload demanded, minimum wage is paid even to workers with Medical and Master's qualified employees. The environment is toxic with extreme levels of micromanagement that will impact regardless of whether the employee is working onsite or remotely. The productivity of care coordinators is measured only by the quantity and not the quality of care provided to the patients. There is a high rate of resignations due to the unfair treatment care coordinators face in the name of productivity. Despite having lived through a pandemic and WFH being embraced globally, it is not favored in the HH Department at Essen despite the care coordinator role being one that can be done remotely with excellence and guaranteed patient satisfaction. For the Health Home Department to thrive in the coming years, drastic changes need to be made at the management level. There needs to be highly progressive, tech-savvy, empathetic, nondiscriminating, and down-to-earth professionals appointed at the management level. There needs to be outside consultants hired to do evaluations and extensive staff training related to the Health Home program.

When I first interviewed with Essen there was little to no transparency regarding caseload as a supervisor and  I was given the impression that A. there was going to be less of a caseload and more focus on supervisory responsibilities and B. there was room for advancement in the company. All false. As a clinical supervisor we were glorified therapists with having to schedule 14 clients with the hopes of getting 9, 45 min sessions completed for the day and still had to supervise LMSW's check their notes and our own. The management especially the scheduling management are aggressive about these numbers. There is no time for admin to complete paperwork if you fall behind. You are pushed to make sure you do your notes in session which with high needs population that we serve that is difficult. You get a 30 min lunch if you're lucky and then back at it. These types of numbers driven healthcare settings are chaotic. Essen is also very disorganized. A lot of clinicians fall behind in documentation because this environment is so fast paced and pressure filled there is no slow down. You get sent a lot of inappropriate referrals for therapy as well. They don't really vet the referrals or allow you to make reasons why some of the referrals are not suited for ongoing telehealth treatment. I once got a 97 year old pt. who was in hospice unable to speak unable to move and the family was taken aback at the referral for ongoing therapy. I was pushed to still do the intake with the family and get information about the patient through the family. They need better structures in place they are flying the plane while building it when it comes to the behavioral health department. It would be nice to have proper trainings for clinical staff to have fellow clinicians train incoming clinicians on documentation and modality trainings. Medical doctors and admin/business majors should not be supervising mental health clinical providers because most of the times they don't have the experience to understand and advise correctly. 

Upper management is extremely underqualified for their roles as they primarily are a small group of people that were there when the company was founded and have simply been promoted over time. They hire underqualified department leaders with no management experience or management skills but who obey their every command. Generally running the place like a sakes floor where billing as frequent as possible is the priority.  

Department leadership is reactive and emotional, having tantrums and uncontrolled anxiety attacks in the middle of the office. Administrator frequently belittled staff in front of other coworkers with no regard to who if anyone was actually at fault. Management would poorly explain new information then become verbally and visually upset responding rudley and unprofessionally. 

Staff is treated with passive aggressive behavior, unwarranted disrespect and lack of professionalism when scheduling and using the little time off they are granted. Staff is threatened by being told "we will discuss this in your supervision" when asking to use their time off, if those times are inconvenient for management.  

Staff receive little guidance with essentially no supervision or evaluations unless there is an issue. Administration will regurgitate the same narrative to staff over and over about accountability and ownership, usually right after or before deflecting their own blame on lower ranking staff members. 

Care coordinators are extremely underpaid to the point they are unable to afford the company's healthcare program. They are asked to complete a new task or project unrelated to their job multiple times a month and are then reprimanded when their primary work is not completed in a timely manner. 

Administration often makes racial remarks in management meetings when discussing the high turnover rate stating on several occasions "well we hire from within this community, so what do you expect".

I worked at Essen Health Care for four years and, unfortunately, my experience was disappointing. During my time there, my salary never increased despite taking on greater responsibilities and seeing increasingly higher patient volumes. Promised bonuses and incentives were either unavailable or did not materialize as expected.

A typical day involved seeing a very high number of patients while dealing with growing administrative demands. Over the years, management continued to increase productivity expectations, placing additional pressure on providers without corresponding compensation or support.

One of the most frustrating aspects was PTO. On multiple occasions, PTO requests that had been planned in advance were not approved or were later canceled, making it difficult to maintain work-life balance. CME support was also lacking compared with what many healthcare professionals would expect.

The hardest part of the job was the constant pressure to increase productivity while feeling that provider concerns were not being heard. No-show appointments often negatively affected providers despite being outside our control. There was little recognition or appreciation for long-term employees, and opportunities for professional growth were limited.

The most enjoyable part of the job was caring for patients and working with some dedicated colleagues. However, those positives were overshadowed by increasing administrative burdens and a lack of investment in providers.

After four years, I am leaving with essentially the same salary I started with. In my experience, the company prioritizes productivity and revenue over provider satisfaction and retention.

PROS
Flexible work schedule and hours, clear hierarchical structure, full autonomy of care, supportive office staff and administrators, clear communication among health care team, transitioning providers and staff in and out of positions has improved but is a work in progress, organization supports international medical graduates transition to the RN/NP role, organization also assist aspiring health professionals find their passion in healthcare and give them the experience they need to succeed in a majority of health care environments, academics and education department is dedicated to assist providers to be 100% evidenced based during practice, Biweekly CME provides a platform to communicate clearly and gain knowledge from various specialties across departments and settings, Optional CMEs from specialist assist individuals to stay current on medical practice updates, Administrators continually seek to find to new ways to bring healthcare to the patients' doorstep, Administrators allow for PTO for emergencies of all sorts while continuing to adhere to their PTO policy

CONS
Connectivity issues at times in the field but our IT department is relentless in working around IT issues and enhancing security to improve provider/patient/family experience, high turn over of support staff and providers at times due to steep learning curve, other employment opportunities, and obtaining higher education, in the past the starting salary was comparatively low compared to other organizations and settings - this has changed for the better, benefits of support staff possibly needs improvement, PTO days should be allotted to providers in the beginning of the year instead of using the accrual method, Providers seeing patients in the field need to create their own meal hours

While I believe the vision of the CEO is truly admirable; he needs to be aware of his key leaders overseeing management.  Respect and professionalism in the workplace should be required.  Providers should not be allowed to speak to staff in a disrespectful manner or bully them because of there job title.  All members of the organization are vital to its success; not just the doctor.  When an employee reports the disrespect of a doctor to their supervisor the reward should not be termination.  The message sent to the employee is that the doctors are free to bully the staff at will; this is the Essen mode.  In addition, MA's should not complete tasks of an RN that is not their function and is dangerous.  This company should be required to employ RN's and LPNs and not expect a Medical Assistant to function as one.  Additionally, 95% of the MAs have long claw like nails in the workplace. This is an infection control issue an unhealthy.  Instead of solely focusing on hiting targets of 25 pts per provider think about being professional and organized.  Not to mention they need to correct their roach infested worksites, fix your poor network sytems and ineffective directors at Halpern your corporate office.  This place was truly disappointing, but I was warned. Despite the comments I hope the CEO does his research and corrects  the inefficiences before acquiring additional sites with the same bad model. I did meet the CEO and believe his ambition, dedication and committment to the Bronx is genuine but arrogant inefficient leadership will destroy his dream.

This is a very good medical practice with the potential to help so many people around the Bronx. Unfortunately, the management keeps changing how things operate. Management makes a lot of promises about "Incentives" and "resources and support" but none is delivered, year after year. 
There is also a lot of unethical work done - patients are called and appts are made - by telling the patients their Doctor requested to see them, patients are enrolled in Medicaid programs simply because they meet the criteria even if they don't need the help, etc.
The work culture is also very negative, limiting a person from being able to work optimally in their role. The current Medical Director and his team simply makes promises after promises but the work morale keeps dropping.
On a positive note - this practice has provided care during the pandemic, when many others faltered. There is also a wide network of different specialties available in house, making it easier for the patients to be seen without trouble.
Very high turnover rate. Many staff, providers, and others come and leave due to inconsistent management practices. 

Even though Providers voice concerns, nothing is done about it. It all falls on deaf ears.

No practice is perfect, but this place used to be better than it is now.

Working at this company has been a masterclass in how poor leadership and misplaced priorities can undermine an entire workforce. Management is disorganized, unresponsive, and consistently out of touch with the day‑to‑day realities employees face. Communication is inconsistent, decisions lack transparency, and staff are left to absorb the consequences.
Employees are chronically overworked due to understaffing, unrealistic expectations, and a complete lack of meaningful support. The workload keeps growing, but the resources never do. Burnout isn’t an occasional issue here — it’s the norm.
The pay is shockingly low, especially for New York. A full‑time employee here couldn’t afford even a basic studio apartment on their salary, which says everything about how undervalued the staff truly are. Meanwhile, leadership seems to have no problem driving luxury cars, investing in cosmetic procedures, and showing off personal lifestyle upgrades. It’s hard to feel respected when the people making the decisions are thriving while the people doing the actual work are struggling to survive.
This company has potential, but only if leadership steps out of their bubble, acknowledges the financial and emotional strain on their employees, and invests in fair compensation, adequate staffing, and competent management. Until then, it’s difficult to recommend this workplace to anyone seeking stability, growth, or basic respect.

Top Job Titles	Average Salary
Nurse practitioner 285 salaries reported	$142,526 per year
Physician assistant 95 salaries reported	$140,000 per year
Physician 89 salaries reported	$206,289 per year
Licensed clinical social worker 79 salaries reported	$76,734 per year
Social worker 225 salaries reported	$78,182 per year

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