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Upward Health · 2 weeks ago

Care Specialist - Enhanced Care Management

Santa Clara, California, United States

Full-time

Onsite

Entry Level

$24/hr - $27/hr

2+ years exp

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. The Care Specialist - Enhanced Care Management is responsible for coordinating care for high-complexity patients, primarily working in the field to provide chronic care coordination and support.

Health CareMedicalService Industry

Responsibilities

Coordinating care for high-complexity patients

Direct outreach to patients through phone calls, home visits, and community interactions

Assess patient needs, help set health goals, and ensure that patients receive appropriate care and resources

Focus on increasing access to preventative care, reducing emergency room visits, and enhancing self-management

Qualification

Care CoordinationMotivational InterviewingCommunity Health Worker certificationElectronic Medical Records (EMR)Chronic Care CoordinationCultural CompetenceTechnical ProficiencyResilienceInterpersonal SkillsOrganizational SkillsAdaptability

Required

At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or in a similar role

High school diploma or GED required

A valid driver's license and auto liability insurance

Reliable transportation and the ability to travel within assigned territory or as needed

Experience in care coordination for individuals with chronic conditions, behavioral health conditions, or with patients experiencing housing insecurities including homelessness

Strong interpersonal and motivational interviewing skills to build trust and rapport with patients

Familiarity with trauma-informed care, care coordination, and patient education

Proficiency in the use of electronic medical records (EMR) systems and basic computer skills

Technologically savvy and able to manage documentation and data entry effectively

Ability to work independently in a field-based environment and as part of a team