Care Specialist

Upward Health•Melville, NY

6d•$21 - $25

About The Position

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care for patients’ physical, behavioral, and social health needs. The Care Specialist is a key member of the team responsible for delivering chronic care management to high-complexity patients. The role is performed primarily in patients’ homes and communities (90% of the time), with virtual care accounting for 10% of the work. The Care Specialist conducts direct 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. The role requires working independently in an unstructured environment while collaborating with interdisciplinary teams.

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 for travel within the assigned territory.
Experience in chronic care management or working with chronically ill or elderly patients.
Basic computer skills, including typing and using EMR systems.
Experience with motivational interviewing, trauma-informed care, and care coordination.
Strong interpersonal communication skills and the ability to engage patients and team members effectively.
Ability to prioritize tasks, manage schedules, and work independently in an unstructured environment.
Ability to communicate complex medical information clearly and supportively.
Ability to work with people from diverse backgrounds and provide culturally sensitive, inclusive care.

Nice To Haves

Multilingual skills.
Prior home care experience.

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 engage them through phone calls, home visits, and community outreach.
Coordinate communication among patients, providers, and family members to support timely and effective care.
Educate patients about medical conditions, care plans, and available resources.
Manage patient caseloads, schedules, and documentation.
Document patient information accurately and on time using EMR systems and other digital tools.
Assess patient needs and develop appropriate care strategies.
Work collaboratively with interdisciplinary teams to meet patient and organizational goals.
Focus on health outcomes, including care adherence, reduced emergency room visits, and improved self-management.