What are the responsibilities and job description for the Care Specialist - Patient Care Coordinator position at Upward Health?
At Upward Health, we are dedicated to providing exceptional care and support to individuals in need. Our multidisciplinary medical group offers 24/7 whole-person care, addressing physical, behavioral, and social health needs.
We strive to make a positive impact in the lives of our patients and their families. Our team of providers, nurses, and Care Specialists work together to deliver high-quality care and promote healthy lifestyles.
Job Summary
The Care Specialist plays a crucial role in our organization, working with patients to develop and implement personalized care plans. This includes conducting needs assessments, coordinating care with interdisciplinary teams, and providing education on healthy habits and disease management.
This position requires strong critical thinking skills, self-motivation, and excellent communication abilities. The ideal candidate will be able to work independently in an unstructured environment and thrive in a fast-paced setting.
Key Responsibilities
- Conduct direct outreach to patients via phone, in-person, and mailings to enroll them into Upward Health's program.
- Collect key data about patients during the enrollment process through continuous and on-going phone and in-person interactions.
- Meet patients in their home or in the community to conduct a needs assessment, including helping patients to set health goals.
- Coordinate care between patients and interdisciplinary care teams as needed.
- Support patients in meeting their healthcare goals as it relates to Quality measures.
- Analyze patient data to determine patient needs or treatment goals.
- Cultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan.
- Buids rapport with Upward Health patients utilizing motivational interviewing techniques.
