Care Specialist Peer Support
2 weeks ago
Upward Health is a leading provider of in-home, multidisciplinary medical care. We are seeking a highly skilled Care Specialist Peer Support to join our team.
Job Summary:The Care Specialist Peer Support will work closely with patients, families, and healthcare providers to deliver high-quality, patient-centered care. This role requires strong communication and interpersonal skills, as well as the ability to work independently and as part of a team.
Key Responsibilities:- Conduct direct outreach to patients via phone, in-person meetings, and other strategies to educate them about Upward Health's services and support their health goals.
- Enroll patients into Upward Health's program and collect key data about patients during the enrollment process.
- Capture accurate and timely documentation in our company's software system.
- Meet patients in their homes or in the community to conduct needs assessments, set health goals, and facilitate appointments with care team members as needed.
- Record vital statistics and other health information in electronic medical records (EMRs).
- Monitor patients to detect health problems and analyze patient data to determine patient needs or treatment goals.
- Assess physical conditions of patients to aid in diagnosis, treatment, and referrals.
- Explain technical medical information to patients and collect medical information from patients, family members, or other medical professionals.
- Administer basic health care or medical treatments as directed by Upward Health care providers.
- Cultivate and support primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan.
- Build rapport with Upward Health patients using motivational interviewing techniques.
- Conduct one-on-one extended patient calls for initial care plans, follow-up with patients, family/caregiver(s), providers, and community resources via secure email, phone calls, and other communications.
- Facilitate patient access to appropriate medical and specialty providers.
- Strong organizational skills to assist patients coordinating services across providers.
- Makes follow-up calls and home visits to patients per Upward Health policy.
- Coordinates with Clinical Care team.
- Documents each patient encounter in detail per Upward Health Policies.
- Prepares reports and documents as needed or requested.
- Attends regular team meetings and participates in clinical rounds.
- At least 3 years of relevant work experience.
- High school graduate or GED required.
- 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.
- Must have reliable transportation with a valid driver's license and auto liability insurance.
- Ability to complete Upward Health's initial training program and ongoing educational requirements as assigned.
- Ability to work flexible hours, including occasional night/weekend work.
Upward Health offers a competitive hourly wage of $21-24 and a dynamic work environment that values diversity, equity, and inclusion.
We are proud to be an equal opportunity/affirmative action employer and are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce.
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