Chronic Care Navigator - In-Home & Virtual

Upward Health, Inc.; Centereach (NY); In loco; USD 29.000 - 34.000; Tempo pieno

Descrizione del lavoro

Upward Health, Inc. provides 24/7 whole-person care at patients' homes, with care teams guiding enrollment and coordinating virtual visits to improve outcomes.

The Care Specialist works primarily in home settings and engages patients to follow their care plans effectively, reducing hospitalizations. Ideal candidates bring chronic care experience, strong communication, and reliability in unstructured environments, plus proficiency with EMR systems and relevant licenses.

Competenze

• Minimum 2 years in roles like CHW, peer support, or medical assisting.
• Strong communication and ability to work with chronically ill/elderly patients.
• Proficiency with EMR systems and basic computer tasks.

Mansioni

• Deliver chronic care management to high-complexity patients.
• Primary work in patients' homes (90%) and some virtual care (10%).
• Guide enrollment, facilitate virtual appointments, and ensure adherence to care plans.
• Coordinate care and provide patient education to prevent hospitalizations.
• Build rapport and support patient outcomes through outreach.

Conoscenze

Community Health Worker

Peer Support Specialist

Medical Assistant

Chronic care

Motivational interviewing

Trauma-informed care

Care coordination

Interpersonal skills

Home health

Formazione

High school diploma or GED

Strumenti

EMR systems

Descrizione del lavoro

Upward Health, Inc. provides 24/7 whole-person care at patients' homes, with care teams guiding enrollment and coordinating virtual visits to improve outcomes.

The Care Specialist works primarily in home settings and engages patients to follow their care plans effectively, reducing hospitalizations. Ideal candidates bring chronic care experience, strong communication, and reliability in unstructured environments, plus proficiency with EMR systems and relevant licenses.