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. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It’s no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Care Specialist role for the Justice-Involved Enhanced Care Management program (JI ECM) is responsible for coordinating care for high-complexity patients, mainly working in the field to provide ongoing care coordination and support. This role involves direct outreach to patients through phone calls, home visits, visits within places of confinement, and community interactions. The Care Specialist primarily works in patients' homes and communities (90% of the time) and engages in virtual or telephonic support (10% of the time). The Care Specialist will assess patient needs, help set health goals and ensure that patients receive the appropriate care and resources, with a focus on increasing access to preventative care, reducing emergency room visits, and enhancing self-management.
Additionally, this role requires specialized support for justice-involved individuals, including those transitioning out of jail or prison. The Care Specialist will work closely with correctional facilities, reentry programs, and community-based organizations to facilitate smooth transitions, address health disparities, and connect individuals to critical health and social services as part of California's CalAIM initiatives. The role demands strong advocacy skills, cultural competence, and a deep understanding of the barriers faced by justice-involved populations. The Care Specialist will play a vital role in improving health outcomes and reducing recidivism by addressing both medical and social determinants of health.
Skills Required:
Key Behaviors:
Adaptability:
Critical Thinking & Problem Solving:
Motivational Interviewing & Empathy:
Relationship Building:
Self-Starter:
Organizational Skills:
Resilience:
Cultural Competence:
Commitment to Quality Care:
Competencies:
Care Coordination:
Patient Advocacy:
Health Education & Communication:
Data Management & Reporting:
Patient Outreach & Engagement:
Goal Setting & Self-Management:
Collaboration & Teamwork:
Crisis Management & Flexibility:
Technical Proficiency:
Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
Compensation details: 24-27 Hourly Wage
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