Care Specialist

3 days ago

Phoenix, Arizona, United States Upward Health Full time
About Upward Health

Upward Health is a leading provider of in-home, multidisciplinary medical care. Our team of dedicated professionals is committed to delivering exceptional care and support to our patients, empowering them to achieve their health goals and improve their overall well-being.

Job Summary

We are seeking a highly motivated and compassionate Care Specialist to join our team. As a Care Specialist, you will play a vital role in delivering chronic care management to high-complexity patients in their homes and communities. Your primary responsibility will be to conduct direct outreach to patients, enroll them in our program, and facilitate virtual visits with our providers to support our integrated care delivery model.

Key Responsibilities:
  • Conduct direct outreach to patients via phone, in-person, mailings, and other strategies to enroll them in our program and collect key data about patients during the enrollment process.
  • Meet patients in their homes or in the community to conduct needs assessments, help patients set health goals, and facilitate in-home provider appointments.
  • Support patients in meeting their healthcare goals as it relates to quality measures and 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 records, analyze patient data to determine patient needs or treatment goals, and assess physical conditions of patients to aid in diagnosis, treatment, and/or need for additional referrals.
  • 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.
  • Build rapport with Upward Health patients utilizing motivational interviewing techniques and conduct one-on-one extended in-person patient appointments.
  • Makes follow-up calls and home visits to patients per Upward Health policy and documents each patient encounter with accuracy and precision.
  • Prepares reports and documents as needed or requested and 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.
What We Offer:

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. We offer a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.

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