Care Specialist

4 days ago

Thibodaux, Louisiana, United States Upward Health Full time
About Upward Health

Upward Health is a leading provider of in-home, multidisciplinary medical care, offering 24/7 whole-person care to patients in need. Our team of dedicated professionals is committed to delivering exceptional care and support to our patients, and we're seeking a skilled Care Specialist to join our team.

Job Summary

The Care Specialist will work in patient's homes and community 90% of the time and virtually the other 10% to deliver chronic care management to high complexity patients. This role requires strong critical thinking skills, self-motivation, and the ability to work independently in an unstructured environment. The successful candidate will be responsible for conducting direct outreach to patients, enrolling them into our program, and facilitating in-home provider appointments. They will also work with patients to set health goals, support them in meeting their healthcare goals, and analyze patient data to determine patient needs or treatment goals.

Key Responsibilities
  • Conduct direct outreach to patients via phone, in-person, mailings, and other strategies to enroll them into our program and collect key data about patients.
  • Meet 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.
  • Support 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 patients.
  • Cultivate and support 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.
Requirements
  • 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.
About You

We're looking for a motivated and compassionate individual who is passionate about delivering high-quality care to patients. If you have a strong background in healthcare, excellent communication skills, and a commitment to patient-centered care, we encourage you to apply for this exciting opportunity.

We offer a competitive salary, comprehensive benefits package, and opportunities for professional growth and development. If you're ready to make a difference in the lives of our patients, please submit your application today.

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