Care Specialist Community Health Worker

1 month ago

Salinas, United States Upward Health Full time
CARE SPECIALIST

Are you a dedicated individual with a passion for providing quality care and making a positive impact in the lives of others? If you possess a unique blend of skills and attributes, including critical thinking, resilience, and the ability to thrive in unstructured environments, we invite you to consider joining our team as a Care Specialist.

As a Care Specialist, you will play a crucial role in our organization, working in a dynamic and ever-changing field. Your responsibilities will extend beyond the ordinary, and we are looking for someone who possesses the tenacity, resilience, and perseverance to excel in challenging situations.

Your role will require you to be a self-starter, someone who not only understands the art of prioritization but is also keen to understand the "why" behind what we do. You'll engage with individuals from diverse backgrounds and often with complex needs, so the ability to work with difficult people and always be willing to help is a must. You don't just say "no"; you ask "how" and seek the "why."

Your awareness of community and diversity will be vital in ensuring that you provide culturally sensitive and inclusive care. Organizational skills, responsiveness, and flexibility are key as you navigate the ever-evolving landscape of healthcare.

Your self-motivation and ability to pivot, serving as a change agent when necessary, will be highly valued. You have an outcome-oriented approach and are willing to learn, adapting to new challenges and opportunities with enthusiasm.

Criticism doesn't deter you; you take it as a chance for self-improvement and growth. Self-awareness is your ally, and you thrive as an independent problem solver. Your passion for people is the driving force behind your commitment to delivering high-quality care.

If you possess these qualities and are ready to embrace a role that demands dedication, adaptability, and a deep desire to make a positive impact, we encourage you to explore the possibilities of becoming a Care Specialist within our organization. Join us in our mission to provide exceptional care and support to those who need it most.

Who is Upward Health

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our providers, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person. I t's no wonder 98% of patients report being fully satisfied with Upward Health

What you will do.

The Care Specialist works in patient's homes and community 90% of the time and virtually the other 10% to deliver chronic care management to high complexity patients. During initial outreach the Care Specialist informs patients about our services and helps them get enrolled. Reaching out via phone is our top strategy for outreach and it's important that the Care Specialist is comfortable and confident communicating by phone. Field-based approaches are utilized as well, and the Care Specialist should be prepared to use whatever strategy is most effective. Once the patient is enrolled, the Care Specialist will facilitate virtual visits from the patient's home to our providers remotely to support our integrated care delivery model, focused on the following goals: Promote timely access to appropriate care; increase utilization of preventative care; reduce emergency room utilization and hospital readmissions; create and promote adherence to a care plan developed in coordination with the patient, primary care provider, and family/caregiver(s); increase patient's ability for self-management and shared decision-making; provide medication reconciliation; connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs

KEY RESPONSIBILITIES:
  • Conduct direct outreach to patients via phone, in-person, mailings, and other strategies including cold calling and unscheduled door knocks.
  • Enroll patients into Upward Health's program and collect key data about patients during the enrollment process through continuous and on-going phone and in-person interactions.
  • Meets patients in their home or in the community to conduct a needs assessment, including helping patients to set health goals.
  • Facilitate in-home provider appointments and coordinate care between patients and care team as needed. Ensuring that all of your assigned patients have an initial provider visit and follow up visits scheduled.
  • Support your patients in meeting their healthcare goals as it relates to Quality measures.
  • Work within an interdisciplinary team to support the team's effort in meeting market and/or organizational goals.
  • Obtain and record vital signs and other health information in electronic medical record (EMR)
  • Analyze patient data to determine patient needs or treatment goals.
  • Assess physical conditions of patients to aid in diagnosis, treatment; and/or need for additional referrals in support of health and social needs.
  • Explain technical medical information to educate the patients.
  • Cultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referral.
  • Builds rapport with Upward Health patients utilizing motivational interviewing techniques.
  • Conduct one-on-one extended in-person patient appointments.
  • Makes follow-up calls and home visits to patients per Upward Health policy.
  • Documents each patient encounter with accuracy and precision.
  • Prepares reports and documents as needed or requested.
  • Attends regular daily huddle, team meetings and participates in clinical rounds.
  • Other duties as needed.

KNOWLEDGE, SKILLS & ABILITIES:
  • Strong critical thinking skills for assessing patient needs and treatment goals.
  • Self-starter with the ability to work independently in an unstructured environment.
  • Interpersonal savvy, demonstrated by the ability to interact with and influence people to establish trust and build strong relationships.
  • Familiar with concepts like Motivational interviewing, trauma informed care and care coordination.
  • Ability to complete unscheduled home visits, completed cold-calls and outreach.
  • Strong organization skills and ability to manage and maintain a personal schedule.
  • Proficient in time management and the ability to prioritize tasks effectively.
  • Ability to work independently within a field-based environment and as part of a team.
  • Excellent communication and motivational interviewing skills to engage with difficult patients and the ability to explain technical medical information.
  • Proficient in the accurate and timely documentation of patient information in multiple electronic medical record (EMR) systems to ensure seamless continuity of care and data integrity.

QUALIFICATIONS:
  • At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or similar role
  • High school graduate or GED required.
  • A valid driver's license and auto liability insurance.
  • Reliable transportation and the ability to travel within your assigned territory or other as needed to support the patient needs plan and training requirements.
  • Experience in Chronic Care Management model OR experience with chronically ill/elderly patients.
  • Long-time resident of the community with good knowledge of the resources of this community.
  • Ability to complete Upward Health's initial training program and ongoing educational requirements as assigned, both virtually and in-person.
  • Technologically savvy with basic computer skills, including ability to type.
  • Multi-lingual capabilities preferred, but not required.
  • Prior Home Care experience a plus

Upward Health is proud to be an equal opportunity/affirmative action employer. We are committed to attracting, 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.

Compensation details: 20-23 Hourly Wage

PIbad3fc513c5c-2088

  • Community Health Worker

    4 weeks ago

    Salinas, United States Cypress Healthcare Partners Full time

    Monday - Friday **SUMMARY** The Community Health Worker is responsible for innovative thinking and providing a comprehensive social determinant of health-based approach to patients with complex social / behavioral health needs and/or multiple chronic conditions. The Community Health Worker will be responsible for linking patients to community resources and...

  • Community Health Worker

    4 weeks ago

    Salinas, United States Cypress Healthcare Partners Full time

    Job DescriptionJob DescriptionMonday - Friday SUMMARYThe Community Health Worker is responsible for innovative thinking and providing a comprehensive social determinant of health-based approach to patients with complex social / behavioral health needs and/or multiple chronic conditions. The Community Health Worker will be responsible for linking patients to...

  • Community Health Worker

    3 weeks ago

    Salinas, United States Cypress Healthcare Partners Full time

    Monday - Friday SUMMARY The Community Health Worker is responsible for innovative thinking and providing a comprehensive social determinant of health-based approach to patients with complex social / behavioral health needs and/or multiple chronic conditions. The Community Health Worker will be responsible for linking patients to community resources and...

  • Community Health Worker

    3 weeks ago

    Salinas, California, United States Cypress Healthcare Partners Full time

    Monday - FridaySUMMARYThe Community Health Worker is responsible for innovative thinking and providing a comprehensive social determinant of health-based approach to patients with complex social / behavioral health needs and/or multiple chronic conditions. The Community Health Worker will be responsible for linking patients to community resources and helping...

  • Community Outreach Specialist

    1 month ago

    Salinas, United States Upward Health Full time

    Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient 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...

  • Intake Specialist for Enhanced Care Management

    4 weeks ago

    Salinas, United States Health Projects Center Full time

    **Intake Specialist** **About us** Health Projects Center is a 501(c)3 non-profit corporation established in 1980. We provide exceptional community-based programs that support elders to live and age with dignity at home. We deliver culturally appropriate programs in both English and Spanish for older adults, family caregivers and health workers. Health...

  • Community Worker

    3 weeks ago

    Salinas, United States California Rural Legal Assistance, Inc. Full time

    Job DetailsJob Location Salinas Office - Salinas, CA Position Type Full Time Salary Range $24.21 - $32.10 Hourly Job Category Outreach DescriptionWHO WE ARE: Founded in 1966, CRLA's mission is to fight for justice and individual rights alongside the most exploited communities of our society. Through a network of regional offices and cross-cutting programs,...

  • Community Worker

    1 month ago

    Salinas, United States California Rural Legal Assistance, Inc. Full time

    Job DetailsJob Location Salinas Office - Salinas, CA Position Type Full Time Salary Range $24.21 - $32.10 Hourly Job Category Outreach DescriptionWHO WE ARE: Founded in 1966, CRLA's mission is to fight for justice and individual rights alongside the most exploited communities of our society. Through a network of regional offices and cross-cutting programs,...

  • Workers Compensation Specialist

    4 weeks ago

    Salinas, United States Sunny Skies produce Full time

    **Company Information**: **D’Arrigo Bros of California **is a rapidly growing, grower, packer, and shipper of fresh fruits and vegetables based in Salinas, California. Since the day the company was founded in 1923 by Andrea and Stefano D’Arrigo, two immigrant brothers from Messina, Sicily, innovation has been our hallmark. Our customers can confidently...

  • Full-time Registered Nurse in Home Health Care

    3 weeks ago

    Salinas, California, United States Supplemental Health Care Full time

    p>Supplemental Health Care is seeking a travel nurse RN Home Health for a travel nursing job in Salinas, California. Job Description & RequirementsSpecialty: Home HealthDiscipline: RNStart Date: ASAPDuration: 13 weeksEmployment Type: TravelSupplemental Health Care is currently hiring RNs with previous OASIS experience for home health contracts in Salinas,...

  • Sanitation Worker

    4 weeks ago

    Salinas, United States Drew Massa Cooling Full time

    Job Overview: Responsibilities: stand during most of the shift, walking, stooping, bending, reaching and crouching, climbing up/down stairs and ladders Work in cold and wet environment (varies; approximately 34 degrees) Must have reliable transportation to arrive to/from work site Must be flexible with schedule, as shift times could change at customer's...

  • Supervising Care Manager for The Enhanced Care

    5 days ago

    Salinas, United States Health Projects Center Full time

    Supervising Care Manager for the Enhanced Care Management Program **About us** Health Projects Center is a 501(c)3 non-profit corporation established in 1980. We provide exceptional community-based programs that support elders to live and age with dignity at home. We deliver culturally appropriate programs in both English and Spanish for older adults,...

  • Program Eligibility Specialist

    2 weeks ago

    Salinas, United States Community Action Partnership of San Luis Obispo Full time

    Join Our Team as a Bilingual Program Eligibility Specialist! Are you detail-oriented, enjoy working with paperwork, and passionate about making a difference in your community? Do you thrive in a dynamic, family-oriented environment? If you're bilingual and eager to support families through meaningful work, we want YOU! As a Program Eligibility Specialist,...

  • Bilingual Social Worker

    2 weeks ago

    Salinas, United States Seneca Family of Agencies Full time

    Overview: The **Foster Youth Social Worker** is responsible for both the clinical treatment and case management of four to six youth placed in intensive Resource Family Approved (RFA) homes, or a combination of these youth and lower needs youth placed in foster or adoptive homes. The **Social Worker** will support the caregiver in many capacities including...

  • Care Manager for Enhanced Care Management

    4 weeks ago

    Salinas, United States Health Projects Center Full time

    **Care Manager** **About us** Health Projects Center is a 501(c)3 non-profit corporation established in 1980. We provide exceptional community-based programs that support elders to live and age with dignity at home. We deliver culturally appropriate programs in both English and Spanish for older adults, family caregivers and health workers. Health...

  • Workers' Compensation Claims Assistant/coordinator

    4 weeks ago

    Salinas, United States Scaroni Family of CompaniesAgData Global, LLC Full time

    Job Overview: Are you looking for an opportunity to join a successful 4th Generation Farming Family with deep roots in the fertile landscapes of the Western USA and Mexico? We are seeking a dedicated individual to fill the role of Workers’ Compensation (“WC”) Claims Coordinator. In this position, you will be responsible for administering the...

  • Registered Nurse

    1 month ago

    Salinas, United States Trusted Health Full time

    Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...

  • Director of Care Coordination

    4 weeks ago

    Salinas, United States Cypress Health Partners Full time

    SUMMARY The Director of Care Coordination possesses a practice operations background with experience in population health practices and principles. This person will direct and manage the daily work of the multiple Care Coordination teams and supports the implementation of new programs identified by SVHC Leadership Team. Provides leadership for the...

  • Scheduling Specialist

    3 weeks ago

    Salinas, United States American Vision Partners Full time

    Company Intro: At **American Vision Partners (AVP)**, we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye...

  • Peer Support Specialist

    4 weeks ago

    Salinas, United States Felton Institute Full time

    **Job Description**: **Peer Support Specialist** **Early Psychosis - (re)MIND® Monterey (Salinas, CA)** **Agency Overview** Founded in 1889, the Felton Institute (formerly Family Service Agency of San Francisco) has a 134-year history of innovation in services for vulnerable children, families, and adults. Felton’s mission is to respond to human needs...