Care Specialist - Enhanced Care Management
Not Disclosed•Full-TimeOn-site
location_on1;11, South Van Ness Avenue, Civic Center, San Francisco, California, 94103, United States
About Upward Health
Upward Health is 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. From doctors and nurses to Care Specialists and technology staff, everyone on our team is driven by a desire to improve the lives of our patients. We treat a wide range of needs—from addressing poorly controlled blood sugar to combatting anxiety and accessing medically tailored meals—because we know that health requires care for the whole person. It is no wonder 98% of patients report being fully satisfied with Upward Health!
About the Role
The Care Specialist - ECM is responsible for coordinating care for high-complexity patients, primarily working in the field to provide chronic care coordination and support. This role involves direct outreach to patients through phone calls, home visits, and community interactions. You will spend 90% of your time in patients' homes and communities, engaging in virtual or telephonic support for the remaining 10%.
In this position, you will assess patient needs, help set health goals, and ensure that patients receive the appropriate care and resources. Your focus will be on increasing access to preventative care, reducing emergency room visits, and enhancing self-management. Success in this role requires excellent communication skills, critical thinking, and the ability to work independently while adapting to evolving challenges in dynamic, unstructured environments.
Our Culture & Values
We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. Our team members demonstrate resilience, cultural competence, and a deep commitment to quality care. We value adaptability, allowing our specialists to pivot quickly to meet the unique needs of patients and the organization. Whether navigating complex healthcare systems or building trust with families, our Care Specialists are self-starters dedicated to empowering patients to take charge of their own health.
Equal Opportunity
Upward Health is proud to be an equal opportunity employer. We consider qualified applicants regardless of background.
Work location
Work model: On-site
1;11, South Van Ness Avenue, Civic Center, San Francisco, California, 94103, United States
San Francisco, California
Key Responsibilities
- check_circleDocument patient interactions and maintain accurate records in EMR systems
- check_circleConduct direct patient outreach via phone calls, home visits, and community interactions
- check_circleCoordinate care for high-complexity patients primarily in field settings
- check_circleCollaborate with interdisciplinary teams to achieve patient care outcomes
- check_circleEnsure patients receive appropriate care and resources to reduce ER visits
- check_circleEducate patients on health conditions and navigate healthcare systems
- check_circleAssess patient needs and help set personalized health goals
Requirements
- verifiedHigh school diploma or GED
- verifiedAt least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or in a similar role
- verifiedValid driver's license and auto liability insurance
- verifiedExperience in care coordination for individuals with chronic conditions, behavioral health conditions, or with patients experiencing housing insecurities including homelessness
- verifiedProficiency in the use of electronic medical records (EMR) systems and basic computer skills
- verifiedMulti-lingual capabilities preferred
- verifiedCommunity Health Worker certification is a plus
Nice to Have
Multi-lingual capabilities. Prior home care or Enhanced Care Management experience. Community Health Worker certification.
Similar Job Opportunities
Skills, education and keywords
Skills: Community Health Worker, Peer Support Specialist, Medical Assistant, Care Coordination, Motivational Interviewing, Trauma-Informed Care, Patient Education, Electronic Medical Records, Emr, Home Care.
Education: High school diploma or GED required.
Frequently asked questions about Care Specialist - Enhanced Care Management at Upward Health
What does a Care Specialist - Enhanced Care Management at Upward Health do?expand_more
Day-to-day, the Care Specialist - Enhanced Care Management at Upward Health will document patient interactions and maintain accurate records in emr systems; conduct direct patient outreach via phone calls, home visits, and community interactions; coordinate care for high-complexity patients primarily in field settings; and collaborate with interdisciplinary teams to achieve patient care outcomes.
What are the requirements for this Care Specialist - Enhanced Care Management role?expand_more
To qualify for the Care Specialist - Enhanced Care Management at Upward Health position, applicants should have: High school diploma or GED; At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or in a similar role; Valid driver's license and auto liability insurance; Experience in care coordination for individuals with chronic conditions, behavioral health conditions, or with patients experiencing housing insecurities including homelessness; Proficiency in the use of electronic medical records (EMR) systems and basic computer skills; and Multi-lingual capabilities preferred.
Where is the Care Specialist - Enhanced Care Management role at Upward Health located?expand_more
Care Specialist - Enhanced Care Management at Upward Health is based in 1;11, South Van Ness Avenue, Civic Center, San Francisco, California, 94103, United States. This is a on-site role.
Is this Care Specialist - Enhanced Care Management job remote, hybrid, or on-site?expand_more
Upward Health has listed this Care Specialist - Enhanced Care Management role as on-site.
How much experience is required for this Care Specialist - Enhanced Care Management role?expand_more
Care Specialist - Enhanced Care Management at Upward Health typically requires 2+ years of relevant experience at the mid level level.
What skills do you need for the Care Specialist - Enhanced Care Management role at Upward Health?expand_more
Key skills for Care Specialist - Enhanced Care Management at Upward Health include Community Health Worker; Peer Support Specialist; Medical Assistant; Care Coordination; Motivational Interviewing; Trauma-Informed Care; Patient Education; and Electronic Medical Records.
What education is required for Care Specialist - Enhanced Care Management at Upward Health?expand_more
Educational requirements for this role: High school diploma or GED required.
What category does the Care Specialist - Enhanced Care Management role belong to?expand_more
Care Specialist - Enhanced Care Management at Upward Health is part of the healthcare & nursing job category on Recrutus.
About Upward Health
Upward Health operates as an in-home medical group within the hospitals and health care sector, based in Hauppauge, New York. The organization focuses on delivering primary medical, behavioral, and social healthcare services to individuals managing complex needs. By bringing care directly to patients' residences, the group addresses common barriers such as long scheduling delays and the difficulty of traveling to traditional provider offices. This model ensures that patients receive timely attention for as long as necessary without the logistical challenges of commuting.
Beyond clinical treatment, Upward Health integrates social support into its care framework to address factors influencing overall well-being. The team assists patients with critical non-medical challenges including food insecurity, social isolation, housing instability, and transportation needs. This holistic approach allows the organization to serve vulnerable populations effectively within their own communities. The company maintains a commitment to accessibility and comprehensive support, ensuring that medical and social needs are met simultaneously to improve health outcomes for those with complex requirements.
Browse more roles: All Upward Health jobs, healthcare & nursing jobs on Recrutus.