Upward Health · 2 weeks ago
Clinical Solutions Specialist
US - Hybrid
Full-time
Hybrid
Mid Level
3+ years expUpward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. The Clinical Solutions Specialist is responsible for designing, implementing, and evaluating clinical care programs that enhance patient outcomes and support value-based care initiatives. This role requires collaboration with cross-functional teams to develop evidence-based solutions and improve care delivery for diverse populations.
Health CareMedicalService Industry
Responsibilities
The Clinical Solution Specialist is responsible for the design, implementation, and evaluation of clinical care programs that improve patient outcomes, support value-based care initiatives, and align with organizational goals
This role serves as a subject matter expert bridging clinical expertise and operational strategy, working closely with cross-functional teams including clinical operations, quality, technology, and business development
The Specialist brings deep knowledge of care delivery models and leverages data to inform the creation of scalable, patient-centered solutions across various populations and care settings
Initially, this role will be acutely focused on improving clinical, quality, and safety outcomes for adult and pediatric populations and patients experiencing transitions of care from emergency departments, inpatient settings, or other tertiary settings back to the home environment
This role works alongside a team of doctors, pharmacists, nurses, social workers, nurse practitioners, and clinical services leaders to develop evidence-based clinical solutions, quality improvement strategies, design patient care models, assess health risk outcomes, and facilitate cross-functional collaboration
The ideal candidate will have deep experience building pediatric and adult programs, including creating workflows for pediatric and family assessments, care coordination, and social risk factor mitigation
In addition, this candidate will have extensive knowledge on Transitions of Care, including background in creating safe and effective care transitions through workflows for engaging patients at admission and discharge, discharge assessments, coordinating provider follow-up visits, and implementing nursing-led transition planning to reduce risk of readmissions
The Clinical Solution Specialist will have advanced knowledge and expertise in pediatric clinical program development and transitions of care workflows, with a broad understanding of population health, quality improvement, and team-based care models
Experience addressing social determinants of health in pediatric settings is valuable, while this role also emphasizes a holistic, clinical approach to care delivery transformation
Qualification
Required
Nursing degree (BSN or higher preferred); RN license required
Must have pediatric experience
Minimum 3 years of experience in clinical care delivery, care management, or clinical program design. Experience in value-based care or population health strong preferred
Proficiency in project management tools and methodology
Prior experience building adult and pediatric programs and workflows (e.g., patient assessments, family environment assessments, developmental screening, patient care coordination)
Strong understanding of care delivery across diverse populations and settings (e.g., ambulatory, post-acute, home health, etc.)
Familiarity with social determinants of health and how they impact patient care delivery
Experience developing workflows and care models with clinical and non-clinical teams
Proficiency in Electronic Medical Record (EMR) software and workflow documentation
Clinical education and training experience (especially for nurses and care teams)
Understanding of Medicare and Medicaid reimbursement structures
Ability to travel to various Upward Health markets as needed
Competent in Microsoft Office Suite and Visio for process design
Preferred
Experience in value-based care or population health strong preferred
Project Management certification, lean six sigma, and/or other related certifications preferred
Experience addressing social determinants of health in pediatric settings is valuable
Company
Upward Health
Upward Health is a home-based medical group specializing in primary medical and behavioral care for individuals with complex needs.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$28.75MKey Investors
Trinity CapitalHeritage GroupNoro-Moseley Partners
2025-01-16Series C
2025-01-16Debt Financing· $20M
2022-09-13Series B
Leadership Team
Benjamin Hamawy
Chief Financial Officer
Recent News
Business Wire
2025-08-13
2025-01-16
2025-01-16
Company data provided by crunchbase