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Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team tres physical, behavioral, and social health needs when and where a pient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our pients. We are able to tre a wide range of needs – everything from addressing poorly controlled blood sugar to combting anxiety to accessing medically tailored meals – because we know th health requires care for the whole person. It’s no wonder 98% of pients report being fully sisfied with Upward Health!
Job Title & Role Description:
The Care Specialist is a key member of the team responsible for delivering chronic care management to high-complexity pients. The Care Specialist primarily works in pients' homes and communities (90% of the time) and engages in virtual care (10% of the time). This role involves direct outreach to pients, guiding them through the enrollment process, faciliting virtual appointments with providers, and ensuring th pients adhere to care plans. By building relionships, coordining care, and providing educion, the Care Specialist plays a critical role in promoting health, preventing unnecessary hospitalizions, and improving pient outcomes.
Skills Required:
Minimum of 2 years of relevant work experience (e.g., Community Health Worker, Peer Support Specialist, Medical Assistant, etc.).
High school diploma or GED required.
A valid driver’s license, auto liability insurance, and reliable transportion to travel within the assigned territory.
Experience in chronic care management or working with chronically ill/elderly pients.
Technologically proficient with basic computer skills (typing, using EMR systems).
Experience with motivional interviewing, trauma-informed care, and care coordinion.
Strong interpersonal communicion skills with the ability to engage pients and team members effectively.
Ability to prioritize tasks, manage schedules, and work independently in an unstructured environment.
Multi-lingual skills are a plus but not required.
Prior home care experience is beneficial.
Key Behaviors:
Adaptability & Resilience:
Ability to thrive in unstructured environments and pivot as needed to meet pient needs. Demonstres perseverance in challenging situions.
Self-Starter & Motivion:
Proactively takes initiive in managing pient care and outreach. Willingness to learn and adapt to new processes and systems.
Emphy & Compassion:
Ability to work with individuals from diverse backgrounds and understand their complex needs. Skilled in building rapport through motivional interviewing and other pient-centered communicion techniques.
Accountability & Integrity:
Demonstres personal responsibility and takes ownership of tasks, ensuring accuracy and timeliness in all activities.
Cultural Competence:
Awareness of community dynamics and diversity, ensuring culturally sensitive and inclusive care.
Team Collaborion:
Works collaborively with interdisciplinary teams to meet pient and organizional goals.
Problem-Solving & Critical Thinking:
Strong critical thinking skills to assess pient needs, analyze da, and develop approprie care stregies.
Communicion Skills:
Excellent verbal and written communicion, capable of explaining complex medical informion to pients in a clear and supportive manner.
Competencies:
Care Coordinion:
Ability to engage pients in a comprehensive care plan, faciliting communicion between pients, providers, and family members to ensure timely, effective care.
Health Educion:
Effectively educes pients about their medical conditions, care plans, and available resources, ensuring th pients can make informed decisions.
Pient Engagement:
Uses various stregies, including phone calls, home visits, and community outreach, to engage pients and ensure continuous participion in their care.
Time Management & Organizion:
Demonstres strong organizional skills by managing pient caseloads, schedules, and documention efficiently.
Technology Proficiency:
Skilled in using electronic health records (EMR) systems and other digital tools to document pient informion and communice within the team.
Motivional Interviewing & Pient-Centered Care:
Uses motivional interviewing techniques to build rapport and empower pients to take ownership of their health decisions.
Da Management:
Ensures accure and timely documention of pient da, ensuring continuity of care and compliance with organizional standards.
Outcome-Oriented Approach:
Focuses on achieving key health outcomes, such as improved care adherence, reduction in emergency room visits, and enhanced self-management.
Upward Health is proud to be an equal opportunity employer. We are committed to tracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
NY pay range$21—$24 USDUpward Health Benefits
Upward Health Core Values
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