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    Care Specialist - San Francisco, United States - Upward Health

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    Description
    CARE SPECIALIST - ECM

    About the Job Title:
    If you are a dedicated individual with a strong passion for providing top-notch care and making a significant positive impact in people's lives, this might be the perfect job role for you.

    About the Company:
    Upward Health is an innovative in-home, multidisciplinary medical group that offers 24/7 comprehensive care to individuals. From physical to behavioral and social health needs, our clinical team is committed to providing holistic care wherever and whenever our patients require assistance.

    Are you someone who possesses exceptional critical thinking, resilience, and the ability to thrive in dynamic environments? If so, we are looking for individuals like you to join our team as a Care Specialist.
    • Your role will involve engaging with individuals from diverse backgrounds and dealing with complex needs, hence the ability to work with challenging individuals and always be ready to offer assistance is crucial.
    • You'll play a fundamental role in our organization, operating in a field that is constantly evolving.
    • We are seeking someone who is a self-starter, adept at prioritization, and curious about understanding the rationale behind our activities.
    • Your strong organizational skills, flexibility, and responsiveness will be essential in navigating the ever-changing landscape of healthcare.
    • Having the motivation to adapt and drive change when needed, along with an outcome-oriented approach, will be highly valued.
    If you possess these qualities and are prepared to take on a role that demands dedication, adaptability, and a genuine desire to create a positive impact, we invite you to explore the exciting opportunity of becoming a Care Specialist with us. Join us in our mission to provide outstanding care and support to those who are in need of it the most.

    About the Role:
    The Care Specialist at Upward Health primarily operates in patients' homes and communities, dedicating 90% of the time to delivering chronic care management to high-complexity patients. Additionally, the role involves virtual interactions for the remaining 10% of the time.

    Responsibilities:
    • Conduct direct outreach to patients through various mediums, including phone, in-person visits, and mailings.
    • Enroll patients into the program and gather crucial patient data during the enrollment process through consistent interactions.
    • Assess patient needs and set health goals while coordinating care between patients and interdisciplinary teams.
    • Support patients in achieving healthcare goals related to Quality measures and analyze patient data to determine needs or treatment goals.
    • Explain technical medical information to educate patients and maintain timely and accurate documentation of patient information.

    Key Responsibilities:
    - Conduct direct outreach to patients via phone, in-person, and mailings
    - Enroll patients into the program and collect key data about patients during enrollment
    - Meet patients in their home or community to conduct a needs assessment and help set health goals
    - Coordinate care between patients and interdisciplinary care teams
    - Support patients in meeting their healthcare goals related to Quality measures
    - Analyze patient data to determine patient needs or treatment goals
    - Explain technical medical information to educate patients
    - Cultivate and support primary care providers with timely communication and integration of information into care plans
    - Build rapport with patients using motivational interviewing techniques
    - Conduct in-person patient appointments and home visits
    - Document each patient encounter accurately
    - Prepare reports and documents as needed
    - Attend regular team meetings and participate in clinical rounds
    - Other duties as assigned

    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 with the ability to interact and influence people effectively.
    • Familiarity with Motivational interviewing, trauma-informed care, and care coordination.
    • Excellent communication and motivational interviewing skills.
    • Proficient in time management and task prioritization.
    • Strong organizational skills and the ability to manage personal schedules effectively.
    • Ability to work both independently and as part of a team.
    • Proficient in electronic medical record systems for accurate and timely documentation.

    Qualifications:
    • At least 2 years of relevant work experience in a similar role.
    • High school graduate or GED required.
    • A valid driver's license and auto liability insurance.
    • Reliable transportation for travel within the assigned territory.
    • Experience in Chronic Care Management or with chronically ill/elderly patients.
    • Good knowledge of community resources.
    • Completion of initial training program and ongoing educational requirements.
    • Technological proficiency with basic computer skills.
    • Prior Home Care experience is a plus.

    About Upward Health:
    Upward Health is committed to providing exceptional care and support to individuals requiring assistance. Our team is driven by a shared goal of improving patients' lives and well-being through innovative healthcare solutions.

    Join us at Upward Health and be part of a diverse and inclusive workforce dedicated to making a positive impact. We are an equal opportunity/affirmative action employer. Apply now to embark on a rewarding journey as a Care Specialist and contribute to meaningful change in people's lives.

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