Care Specialist - Bilingual Spanish/English

Upward Health•Santa Fe County, New Mexico, NM

19h•$21 - $24

About The Position

The Care Specialist is a key member of the team responsible for delivering chronic care management to high-complexity patients. The role is primarily based in patients’ homes and communities (90% of the time), with virtual care accounting for 10% of the work. The Care Specialist conducts patient outreach, guides patients through enrollment, facilitates virtual appointments with providers, and supports adherence to care plans. Through relationship-building, care coordination, and education, the Care Specialist helps promote health, prevent unnecessary hospitalizations, and improve patient outcomes. Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Its clinical team addresses patients’ physical, behavioral, and social health needs. The Care Specialist works with patients and interdisciplinary teams to support comprehensive, patient-centered care.

Requirements

At least 2 years of relevant work experience, such as Community Health Worker, Peer Support Specialist, or Medical Assistant.
High school diploma or GED.
Valid driver’s license, auto liability insurance, and reliable transportation to travel within the assigned territory.
Experience in chronic care management or working with chronically ill or elderly patients.
Basic computer skills, including typing and use of EMR systems.
Experience with motivational interviewing, trauma-informed care, and care coordination.
Strong interpersonal communication skills and ability to engage patients and team members effectively.
Ability to prioritize tasks, manage schedules, and work independently in an unstructured environment.
Excellent verbal and written communication skills, including the ability to explain complex medical information clearly and supportively.

Nice To Haves

Multilingual skills are a plus but are not required.
Prior home care experience is beneficial.

Responsibilities

Conduct direct outreach to patients and guide them through the enrollment process.
Facilitate virtual appointments between patients and providers.
Support patients in adhering to their care plans.
Build relationships with patients and coordinate care.
Educate patients about medical conditions, care plans, and available resources.
Use phone calls, home visits, and community outreach to engage patients and encourage ongoing participation in care.
Coordinate communication among patients, providers, and family members to support timely, effective care.
Manage patient caseloads, schedules, and documentation.
Document patient data accurately and promptly using EMR systems and other digital tools.
Assess patient needs, analyze data, and develop appropriate care strategies.
Work collaboratively with interdisciplinary teams to meet patient and organizational goals.
Promote health outcomes including care-plan adherence, reduced emergency room visits, and improved self-management.