What are the responsibilities and job description for the Assisted Living Resident Care Specialist position at Upward Health?
At Upward Health, we are committed to delivering exceptional care and support to individuals in need. As a Care Specialist, you will play a vital role in our organization, working with patients from diverse backgrounds and complex needs.
About Us
We are an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where patients require assistance.
Your Role
The Care Specialist works primarily in patients' homes and communities (90%) and virtually (10%) to deliver chronic care management to high-complexity patients.
Main Responsibilities:
- Conduct direct outreach to patients via phone, in-person, mailings, and other strategies, including cold calling and unscheduled door knocks.
- Enroll patients into Upward Health's program and collect key data about patients during the enrollment process through continuous and ongoing phone and in-person interactions.
- Meet patients in their home or community to conduct a needs assessment, including helping patients set health goals.
- Facilitate in-home provider appointments and coordinate care between patients and the care team as needed.
- Support patients in meeting their healthcare goals related to quality measures.
- Obtain and record vital signs and other health information in electronic medical records.
- 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, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referrals.
- Makes follow-up calls and home visits to patients per Upward Health policy.
- Documents each patient encounter with accuracy and precision.
As a Care Specialist, you will be familiar with concepts like Motivational interviewing, trauma-informed care, and care coordination.
