What are the responsibilities and job description for the Patient Care Coordinator position at Upward Health?
Upward Health Mission
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 a patient needs help.
About the Job
The Patient Care Coordinator works in patients' homes and community to deliver chronic care management to high complexity patients. Responsibilities include conducting direct outreach to patients via phone, enrolling patients into our program, and facilitating virtual visits from the patient's home to our providers remotely.
The ideal candidate will have strong critical thinking skills for assessing patient needs and treatment goals, as well as self-starting abilities to work independently in an unstructured environment.
Key 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 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.
- Facilitate in-home provider appointments and coordinate care between patients and care team as needed.
Required Skills and Qualifications
- At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or similar role.
- High school graduate or GED required.
- A valid driver's license and auto liability insurance.
- Reliable transportation and the ability to travel within your assigned territory or other as needed to support the patient needs plan and training requirements.
