Job Details

Company Overview:

At Upward Health, we are an innovative medical group focused on providing comprehensive in-home care that is available 24/7. Our dedicated clinical team addresses the physical, behavioral, and social health needs of our patients right where they need help. With a strong commitment to enhancing the lives of those we serve, our team ranges from doctors and nurses to Care Specialists and support staff. Our holistic approach allows us to manage various health challenges effectively, from controlling blood sugar levels to alleviating anxiety and providing medically tailored meals. As a result, 98% of our patients report complete satisfaction with the care they receive!

Job Title & Role Description:

The Patient Care Specialist plays a vital role in delivering chronic care management for patients with complex health needs. Primarily working outside of clinical settings, this position entails conducting home visits (90% of the time) and engaging in virtual care options (10% of the time). This role involves direct outreach to patients, guiding them through the enrollment process, setting up virtual appointments with healthcare providers, and ensuring adherence to care plans. Through the development of strong relationships, effective care coordination, and patient education, the Patient Care Specialist contributes significantly to improving health outcomes and minimizing hospitalizations.

Skills Required:

• At least 2 years of relevant work experience, such as in roles like Community Health Worker, Peer Support Specialist, or Medical Assistant.
• A high school diploma or GED is mandatory.
• A valid driver's license, auto liability insurance, and reliable transportation for patient outreach.
• Prior experience in chronic care management or working with elderly/chronically ill patients is essential.
• Proficient in using technology, including basic computer skills and electronic medical records (EMR) systems.
• A background in motivational interviewing and trauma-informed care is preferred.
• Excellent interpersonal skills to effectively communicate with patients and team members.
• Strong organizational abilities, with the capacity to manage schedules independently in flexible environments.
• Multilingual skills are a bonus but not required.
• Previous experience in home care settings is advantageous.

Key Behaviors:

• Adaptability & Resilience: Ability to thrive in dynamic settings, demonstrating perseverance in challenging situations.
• Self-Starter & Motivation: Takes initiative in patient care management and outreach, eager to learn and embrace new strategies.
• Empathy & Compassion: Works effectively with individuals from varied backgrounds, employing patient-centered communication techniques.
• Accountability & Integrity: Shows personal responsibility and ownership of tasks while ensuring accuracy and timeliness.
• Cultural Competence: Understands community dynamics and diversity, offering culturally sensitive care.
• Team Collaboration: Partners with interdisciplinary teams to achieve both patient and organizational objectives.
• Problem-Solving & Critical Thinking: Employs strong thinking skills to assess patient needs and formulate appropriate care strategies.
• Communication Skills: Exhibits excellent verbal and written communication, simplifying complex medical concepts for patients.

Competencies:

• Care Coordination: Engages patients in comprehensive care plans, facilitating communication among all involved.
• Health Education: Effectively informs patients about their conditions, care plans, and available resources.
• Patient Engagement: Utilizes various strategies, including phone outreach and home visits, to encourage active patient participation.
• Time Management & Organization: Manages patient caseloads and documentation efficiently.
• Technology Proficiency: Comfortably uses electronic health records and other tools for documentation and communication.
• Motivational Interviewing & Patient-Centered Care: Uses techniques that empower patients to take charge of their health.
• Data Management: Ensures timely and accurate documentation of patient data for continuity and compliance.
• Outcome-Oriented Approach: Aims for key health outcomes including better adherence, reduced emergency visits, and enhanced self-management.

At Upward Health, we celebrate diversity and are committed to creating an inclusive workforce. This job description is meant to serve as a general guide and does not cover every task assigned to the position.