634 Healthcare jobs in Benicia

Position Summary:

The RT Vent Field Clinician is a Respiratory Therapist providing respiratory patient care to Vent patients for optimal outcomes. Provides respiratory care to patients in alternate sites in accordance with AdaptHealth's policies and procedures. Respiratory care will be preventative, rehabilitative, and palliative in nature. The RT will utilize all the resources available within the agency and community to accomplish care objectives. This position will provide education and care to the patient and communicate with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues.

Essential Functions and Job Responsibilities:

• Utilizes various sources of information to attain greater competence about his or her position, including attending educational events (including attending optional in-services) and asking questions.
• Utilizes acquired knowledge to increase his or her competencies.
• Consistently demonstrates ability to adequately complete all documentation and charting procedures in compliance with company policy and procedures.
• Maintains complete and accurate patient files by updating all documents per company policy and procedures.
• Reviews Plan of Treatments and Care Plans to assure they are accurate and up to date.
• Documents procedures including how the patient tolerated a procedure, side effects and other pertinent information.
• Assists with authorization for Ventilator referrals for patients.
• Shows adequate knowledge of respiratory equipment and displays ability to utilize knowledge in the clinical setting.
• Displays knowledge of assessment skills and demonstrates application of clinical skills during set-ups, follow-ups, and in-services.
• Participates in discharge planning of highly technical cases.
• Performs clinical assessments as needed and reports results and recommendations to the referral and physician.
• Participates in highly technical discharges and prepares in advance to assure the patient and caregivers have a smooth transition to the home setting.
• Performs in-services to hospital staff, referrals, other professionals regarding equipment & issues of clinical nature.
• Follows up with physician and referrals regarding patient status and documents accurately and in a timely manner.
• Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling.
• Works to promote AdaptHealth by new program development, operational backup, personal visits, coordination of educational activities, etc.
• Assume on-call responsibilities during non-business hours in accordance with company policy.
• Uses clinical expertise in evaluating vent patients records once a ventilator set up has been completed by the branch Respiratory Therapist.
• Ensures accuracy of prescriptions and plan of care was followed and documented. Also reviews delivery tickets, home inspection, ventilator check, and patient equipment competencies are complete and documented.
• Maintains proficient knowledge of ventilator patients including compliance software, new technology, units, and supplies supported by Adapthealth.
• Ability to demonstrate and instruct on use of vent units and supplies. Ability to make decisions for patients based on compliance data and assessment.
• Communicates with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues.
• Maintains working knowledge of Medicare/Medicaid and other third-party payer guidelines related to ventilation.
• Electronically documents patient care activity, intervention provided and all communication regarding the patient. Documentation is accurate, complete and follows company standards.
• Appropriate steps taken to ensure recommendations and orders sent are acknowledged and followed up in a timely manner.
• Responsible for accuracy, clarity, and timeliness of verbal and written communications as it relates to role.
• Responsible for documentation that supports data collection to track and trend outcomes.
• Assists in establishing clinical documentation when needed for third party reimbursement or justification.
• Uses knowledge in working with referral sources to educate about best practice standards.
• Works collaboratively and pro-actively with peers and other team members to resolve issues and assure optimum outcomes for patients, referral sources and staff.
• Acts as a resource on practices and processes to provide appropriate guidance.
• Develop and maintain working knowledge of current HME products and services offered by the company.
• Maintain patient confidentiality and function within the guidelines of HIPAA.
• Completes assigned compliance training and other educational programs as required.
• Maintains compliant with AdaptHealth's Compliance Program.
• Perform other related duties as assigned during and outside of normal business hours as needed.

Competency, Skills, and Abilities:

• Experience with ventilator patients
• Competent in Ventilator, Airway Clearance, and Oxygen therapy administration and management
• Able to perform clinical assessments.
• Equipment troubleshooting and maintenance skills.
• Decision making skills.
• Expert communication and interpersonal skills
• Ability to prioritize tasks and manage multiple projects.
• Strong analytical and problem-solving skills with attention to detail
• Proficient use of Microsoft Office Suite – Excel, Word, and PowerPoint
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.
• Knowledge of the regulatory requirements at the state, federal, and local level
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.

Education and Experience Requirements:

• Associates degree from an AMA approved respiratory program,
• Valid and unrestricted RT clinical license in all states serviced by the branch.
• Must be CPR certified,
• One (1) year of clinical experience as a Health Care RT, HME RT or clinical nursing with Vent experience.
• Valid and unrestricted driver's license

Physical Demands and Work Environment:

• Must be able to lift 50 pounds, stand, bend, stoop, and be able to sit at a computer for extended periods of time.
• Must be able to perform one-man CPR.
• Ability to perform repetitive movements of the upper extremities' motions of wrists, hands, and/or fingers due to extensive computer use.
• May be exposed to unsanitary conditions in some home settings.
• Work environment may be stressful at times, as overall office activities and work levels fluctuate.
• May be exposed to high crime areas within the service community.
• Subject to long periods of sitting and exposure to computer screen.
• May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.
• May be exposed to angry or irate customers or patients.
• Must be able to drive and travel as needed.
• Physical and mental ability to provide clinical assessments.
• Requires travel throughout service area.
• Mental ability to communicate both verbally and in writing.
• Must be able to access the patient's residence.
• Ability to work outside of normal business hours.
• Physical and mental ability to provide clinical assessments.

PI5d14918208d2-34600-37054867

CARE SPECIALIST - ENHANCED CARE MANAGEMENT

Are you a dedicated individual with a passion for providing quality care and making a positive impact in the lives of others? If you possess a unique blend of skills and attributes, including critical thinking, resilience, and the ability to thrive in unstructured environments, we invite you to consider joining our team as a Care Specialist.

As a Care Specialist, you will play a crucial role in our organization, working in a dynamic and ever-changing field. Your responsibilities will extend beyond the ordinary, and we are looking for someone who possesses the tenacity, resilience, and perseverance to excel in challenging situations.

Your role will require you to be a self-starter, someone who not only understands the art of prioritization but is also keen to understand the "why" behind what we do. You'll engage with individuals from diverse backgrounds and often with complex needs, so the ability to work with difficult people and always be willing to help is a must. You don't just say "no"; you ask "how" and seek the "why

Your awareness of community and diversity will be vital in ensuring that you provide culturally sensitive and inclusive care. Organizational skills, responsiveness, and flexibility are key as you navigate the ever-evolving landscape of healthcare.

Your self-motivation and ability to pivot, serving as a change agent when necessary, will be highly valued. You have an outcome-oriented approach and are willing to learn, adapting to new challenges and opportunities with enthusiasm.

Criticism doesn't deter you; you take it as a chance for self-improvement and growth. Self-awareness is your ally, and you thrive as an independent problem solver. Your passion for people is the driving force behind your commitment to delivering high-quality care.

If you possess these qualities and are ready to embrace a role that demands dedication, adaptability, and a deep desire to make a positive impact, we encourage you to explore the possibilities of becoming a Care Specialist within our organization. Join us in our mission to provide exceptional care and support to those who need it most.

Who is 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. Everyone on our team from our providers, 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!

What you will do.

The Care Specialist works in patient’s homes and community 90% of the time and virtually the other 10% to deliver chronic care management to high complexity patients. During initial outreach the Care Specialist informs patients about our services and helps them get enrolled.  Reaching out via phone is our top strategy for outreach and it’s important that the Care Specialist is comfortable and confident communicating by phone.  Field-based approaches are utilized as well, and the Care Specialist should be prepared to use whatever strategy is most effective.   Once the patient is enrolled, the Care Specialist will coordinate care from the patient’s home or the community to support our integrated care delivery model, focused on the following goals: Promote timely access to appropriate care; increase utilization of preventative care; reduce emergency room utilization and hospital readmissions; create and promote adherence to a care plan developed in coordination with the patient, primary care provider, and family/caregiver(s); increase patient’s ability for self-management and shared decision-making; provide medication reconciliation; connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs

KEY RESPONSIBILITIES:

• Conduct direct outreach to patients via phone, in-person, mailings, and other strategies including cold calling and unscheduled door knocks. 
• Enroll patients into Upward Health’s program and collect key data about patients during the enrollment process through continuous and on-going phone and in-person interactions. 
• Meets patients in their home or in the community to conduct a needs assessment, including helping patients to set health goals.
• Coordinate care between patients and interdisciplinary care teams as needed. 
• Support your patients in meeting their healthcare goals as it relates to Quality measures.
• Work within an interdisciplinary team to support the team’s effort in meeting market and/or organizational goals. 
• Analyze patient data to determine patient needs or treatment goals.
• Assess physical conditions of patients to aid in diagnosis, treatment; and/or need for additional referrals in support of health and social needs.
• Explain technical medical information to educate the patients.
• Cultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referral.
• Builds rapport with Upward Health patients utilizing motivational interviewing techniques.
• Conduct one-on-one extended in-person patient appointments.
• Makes follow-up calls and home visits to patients per Upward Health policy.
• Documents each patient encounter with accuracy and precision.
• Prepares reports and documents as needed or requested.
• Attends regular daily huddle, team meetings and participates in clinical rounds.
• Other duties as needed. 

KNOWLEDGE, SKILLS & ABILITIES:

• Strong critical thinking skills for assessing patient needs and treatment goals.
• Self-starter with the ability to work independently in an unstructured environment.
• Interpersonal savvy, demonstrated by the ability to interact with and influence people to establish trust and build strong relationships.
• Familiar with concepts like Motivational interviewing, trauma informed care and care coordination.
• Ability to complete unscheduled home visits, completed cold-calls and outreach.
• Strong organization skills and ability to manage and maintain a personal schedule.
• Proficient in time management and the ability to prioritize tasks effectively. 
• Ability to work independently within a field-based environment and as part of a team.
• Excellent communication and motivational interviewing skills to engage with difficult patients and the ability to explain technical medical information. 
• Proficient in the accurate and timely documentation of patient information in multiple electronic medical record (EMR) systems to ensure seamless continuity of care and data integrity. 

QUALIFICATIONS:

• At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or similar role
• High school graduate or GED required.
• A valid driver’s license and auto liability insurance.
• Reliable transportation and the ability to travel within your assigned territory or other as needed to support the patient needs plan and training requirements.
• Experience in Chronic Care Management model OR experience with chronically ill/elderly patients.
• Long-time resident of the community with good knowledge of the resources of this community.
• Ability to complete Upward Health’s initial training program and ongoing educational requirements as assigned, both virtually and in-person. 
• Technologically savvy with basic computer skills, including ability to type.
• Multi-lingual capabilities preferred, but not required.
• Prior Home Care experience a plus

Upward Health is proud to be an equal opportunity/affirmative action 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 Yearly Salary

PI5bdef9dbc100-34600-36953225

Company Overview:

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 - ECM is responsible for coordinating care for high-complexity patients, mainly 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. 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. The role requires excellent communication skills, critical thinking, and the ability to work independently and adapt to evolving challenges.

Skills Required:

• At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or in a similar role.
• High school diploma or GED required.
• A valid driver’s license and auto liability insurance.
• Reliable transportation and the ability to travel within assigned territory or as needed.
• Experience in care coordination for individuals with chronic conditions, behavioral health conditions, or with  patients experiencing housing insecurities including homelessness.
• Strong interpersonal and motivational interviewing skills to build trust and rapport with patients.
• Familiarity with trauma-informed care, care coordination, and patient education.
• Proficiency in the use of electronic medical records (EMR) systems and basic computer skills.
• Technologically savvy and able to manage documentation and data entry effectively.
• Ability to work independently in a field-based environment and as part of a team.
• Multi-lingual capabilities preferred but not required.
• Prior home care or Enhanced Care Management experience a plus.
• Community Health Worker certification is a plus.

Key Behaviors:

Adaptability: 

• Ability to work in dynamic, unstructured environments, pivoting quickly to meet the needs of patients and the organization.

Critical Thinking & Problem Solving: 

• Demonstrates strong problem-solving skills when assessing patient needs and determining the best course of action.

Motivational Interviewing & Empathy: 

• Uses motivational interviewing techniques to build rapport, set health goals, and empower patients to take charge of their care.

Relationship Building: 

• Skilled in establishing trust and fostering strong relationships with patients, families, and team members.

Self-Starter: 

• Takes initiative to perform outreach, complete assessments, and follow through with care coordination independently.

Organizational Skills: 

• Excellent at managing time, tasks, and schedules, ensuring that all patient needs are addressed in a timely manner.

Resilience: 

• Demonstrates resilience in challenging situations and remains focused on the goal of improving patient outcomes despite setbacks.

Cultural Competence: 

• Demonstrates sensitivity to and understanding of diverse cultural backgrounds, ensuring that care is provided in a culturally inclusive manner.

Commitment to Quality Care: 

• Shows passion for delivering high-quality care and support to patients, ensuring their well-being and satisfaction.

Competencies:

Care Coordination: 

• Ability to assess patient needs, coordinate care with interdisciplinary teams, and ensure patients are receiving the appropriate services.

Patient Advocacy: 

• Supports patients by navigating healthcare systems, advocating for needed resources, and ensuring timely access to care.

Health Education & Communication: 

• Educates patients about their health conditions, treatments, and the healthcare system in a clear and empathetic manner.

Data Management & Reporting: 

• Proficient in documenting patient interactions and maintaining accurate, up-to-date records in EMR systems.

Patient Outreach & Engagement: 

• Proactively reaches out to patients through multiple communication channels, including phone, in-person visits, and community outreach.

Goal Setting & Self-Management: 

• Works with patients to develop self-care plans, emphasizing shared decision-making and increasing the patient’s ability to manage their own health.

Collaboration & Teamwork: 

• Works effectively as part of an interdisciplinary care team to achieve organizational goals and improve patient outcomes.

Crisis Management & Flexibility: 

• Demonstrates flexibility and adaptability in managing unforeseen challenges, providing support where it is needed most.

Technical Proficiency: 

• Skilled in using healthcare software applications and systems for accurate data entry and patient management.

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

PI3b7ff222cdd8-34600-37431746

Company Overview:

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:

• At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or in a similar role.
• High school diploma or GED required.
• A valid driver’s license and auto liability insurance.
• Reliable transportation and the ability to travel within assigned territory or as needed.
• Experience in care coordination for individuals with chronic conditions, behavioral health conditions, or with patients experiencing housing insecurities including homelessness.
• Experience supporting justice-involved populations, particularly individuals transitioning out of jail or prison, in alignment with California’s CalAIM initiatives.
• Strong interpersonal and motivational interviewing skills to build trust and rapport with patients.
• Familiarity with trauma-informed care, care coordination, and patient education.
• Proficiency in the use of electronic medical records (EMR) systems and basic computer skills.
• Technologically savvy and able to manage documentation and data entry effectively.
• Ability to work independently in a field-based environment and as part of a team.
• Multi-lingual capabilities preferred but not required.
• Prior home care or Enhanced Care Management experience a plus.
• Community Health Worker certification is a plus.

Key Behaviors:

Adaptability: 

• Ability to work in dynamic, unstructured environments, pivoting quickly to meet the needs of patients and the organization.

Critical Thinking & Problem Solving: 

• Demonstrates strong problem-solving skills when assessing patient needs and determining the best course of action.

Motivational Interviewing & Empathy: 

• Uses motivational interviewing techniques to build rapport, set health goals, and empower patients to take charge of their care.

Relationship Building: 

• Skilled in establishing trust and fostering strong relationships with patients, families, and team members.

Self-Starter: 

• Takes initiative to perform outreach, complete assessments, and follow through with care coordination independently.

Organizational Skills: 

• Excellent at managing time, tasks, and schedules, ensuring that all patient needs are addressed in a timely manner.

Resilience: 

• Demonstrates resilience in challenging situations and remains focused on the goal of improving patient outcomes despite setbacks.

Cultural Competence: 

• Demonstrates sensitivity to and understanding of diverse cultural backgrounds, ensuring that care is provided in a culturally inclusive manner.

Commitment to Quality Care: 

• Shows passion for delivering high-quality care and support to patients, ensuring their well-being and satisfaction.

Competencies:

Care Coordination: 

• Ability to assess patient needs, coordinate care with interdisciplinary teams, and ensure patients are receiving the appropriate services.

Patient Advocacy: 

• Supports patients by navigating healthcare systems, advocating for needed resources, and ensuring timely access to care.

Health Education & Communication: 

• Educates patients about their health conditions, treatments, and the healthcare system in a clear and empathetic manner.

Data Management & Reporting: 

• Proficient in documenting patient interactions and maintaining accurate, up-to-date records in EMR systems.

Patient Outreach & Engagement: 

• Proactively reaches out to patients through multiple communication channels, including phone, in-person visits, and community outreach.

Goal Setting & Self-Management: 

• Works with patients to develop self-care plans, emphasizing shared decision-making and increasing the patient’s ability to manage their own health.

Collaboration & Teamwork: 

• Works effectively as part of an interdisciplinary care team to achieve organizational goals and improve patient outcomes.

Crisis Management & Flexibility: 

• Demonstrates flexibility and adaptability in managing unforeseen challenges, providing support where it is needed most.

Technical Proficiency: 

• Skilled in using healthcare software applications and systems for accurate data entry and patient management.

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

PIf1c1d2bbf801-34600-38079205

Company Overview:

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 Navigator serves as the primary point of contact for patients, ensuring a seamless and coordinated care experience. They will be responsible for facilitating communication between patients, their families, providers, and the Care Team, ensuring the delivery of comprehensive and continuous care. The Care Navigator will also handle patient registration, insurance verification, scheduling, follow-up support after visits, and offer general administrative assistance. This role is essential in optimizing patient care by coordinating with multiple healthcare providers, verifying insurance coverage, and supporting the broader Care Team to ensure smooth transitions and ongoing care.

Skills Required:

• 3+ years of experience in a healthcare practice, preferably in a patient representative or care coordination role
• High school diploma or GED required
• Experience with health insurance, including verification and understanding of medical terminology
• Strong organizational skills with the ability to handle multiple tasks in a fast-paced environment
• Excellent oral and written communication skills for clear and efficient communication with patients, providers, and the Care Team
• Strong attention to detail to ensure that all information is accurate and comprehensive
• Technologically savvy, including proficiency with EHR and related systems
• Ability to work independently in a remote setting while collaborating effectively with team members
• Multilingual capabilities preferred, but not required
• Knowledge of community resources in the applicable geographic area

Key Behaviors:

Patient-Centered Focus:

• Ensures patients receive the support and resources they need by acting as the main point of contact and providing ongoing communication to help them navigate the healthcare system.

Adaptability & Flexibility:

• Demonstrates the ability to change course and take on new tasks as needed, thriving in a fast-paced environment and responding to evolving patient needs.

Urgency & Proactive Action:

• Works with a sense of urgency to ensure all administrative, clinical, and coordination tasks are completed promptly, helping to expedite the delivery of care for patients.

Team Collaboration:

• Works cohesively with the Care Team, providers, and other stakeholders to ensure smooth care delivery and address patient needs effectively.

Strong Communication Skills:

• Utilizes clear, empathetic, and professional communication with patients, their families, and healthcare providers to ensure all needs are addressed and met.

Attention to Detail:

• Ensures all documentation and patient information is accurate, complete, and updated in a timely manner.

Competencies:

Care Coordination & Patient Advocacy:

• Demonstrated ability to facilitate the coordination of care across multiple providers and service levels, ensuring continuity and timeliness of patient care.

Insurance & Billing Knowledge:

• Experience in verifying insurance information, handling prior authorizations, and addressing insurance inquiries to ensure patients are covered and have access to necessary services.

Data Entry & Technology Proficiency:

• Ability to accurately enter data and navigate multiple healthcare technology systems, including EHRs and CRM platforms, to maintain organized and up-to-date patient records.

Problem-Solving & Critical Thinking:

• Ability to identify and resolve issues that may arise in patient care coordination, such as insurance eligibility, scheduling conflicts, or resource gaps.

Multitasking & Time Management:

• Capable of managing various tasks, such as scheduling appointments, patient follow-ups, and handling insurance inquiries, while maintaining attention to detail and deadlines.

Cultural Competency & Empathy:

• Ability to effectively engage with patients from diverse backgrounds, demonstrating cultural sensitivity and empathy to meet their individual needs.

Professional Boundaries & Confidentiality:

• Maintains appropriate professional boundaries with patients and team members while ensuring patient privacy and confidentiality in all interactions.

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: 18-24 Yearly Salary

PI127e9d84652e-34600-38156076

Company Overview:

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 - ECM is responsible for coordinating care for high-complexity patients, mainly 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. 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. The role requires excellent communication skills, critical thinking, and the ability to work independently and adapt to evolving challenges.

Skills Required:

• At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or in a similar role.
• High school diploma or GED required.
• A valid driver’s license and auto liability insurance.
• Reliable transportation and the ability to travel within assigned territory or as needed.
• Experience in care coordination for individuals with chronic conditions, behavioral health conditions, or with  patients experiencing housing insecurities including homelessness.
• Strong interpersonal and motivational interviewing skills to build trust and rapport with patients.
• Familiarity with trauma-informed care, care coordination, and patient education.
• Proficiency in the use of electronic medical records (EMR) systems and basic computer skills.
• Technologically savvy and able to manage documentation and data entry effectively.
• Ability to work independently in a field-based environment and as part of a team.
• Multi-lingual capabilities preferred but not required.
• Prior home care or Enhanced Care Management experience a plus.
• Community Health Worker certification is a plus.

Key Behaviors:

Adaptability: 

• Ability to work in dynamic, unstructured environments, pivoting quickly to meet the needs of patients and the organization.

Critical Thinking & Problem Solving: 

• Demonstrates strong problem-solving skills when assessing patient needs and determining the best course of action.

Motivational Interviewing & Empathy: 

• Uses motivational interviewing techniques to build rapport, set health goals, and empower patients to take charge of their care.

Relationship Building: 

• Skilled in establishing trust and fostering strong relationships with patients, families, and team members.

Self-Starter: 

• Takes initiative to perform outreach, complete assessments, and follow through with care coordination independently.

Organizational Skills: 

• Excellent at managing time, tasks, and schedules, ensuring that all patient needs are addressed in a timely manner.

Resilience: 

• Demonstrates resilience in challenging situations and remains focused on the goal of improving patient outcomes despite setbacks.

Cultural Competence: 

• Demonstrates sensitivity to and understanding of diverse cultural backgrounds, ensuring that care is provided in a culturally inclusive manner.

Commitment to Quality Care: 

• Shows passion for delivering high-quality care and support to patients, ensuring their well-being and satisfaction.

Competencies:

Care Coordination: 

• Ability to assess patient needs, coordinate care with interdisciplinary teams, and ensure patients are receiving the appropriate services.

Patient Advocacy: 

• Supports patients by navigating healthcare systems, advocating for needed resources, and ensuring timely access to care.

Health Education & Communication: 

• Educates patients about their health conditions, treatments, and the healthcare system in a clear and empathetic manner.

Data Management & Reporting: 

• Proficient in documenting patient interactions and maintaining accurate, up-to-date records in EMR systems.

Patient Outreach & Engagement: 

• Proactively reaches out to patients through multiple communication channels, including phone, in-person visits, and community outreach.

Goal Setting & Self-Management: 

• Works with patients to develop self-care plans, emphasizing shared decision-making and increasing the patient’s ability to manage their own health.

Collaboration & Teamwork: 

• Works effectively as part of an interdisciplinary care team to achieve organizational goals and improve patient outcomes.

Crisis Management & Flexibility: 

• Demonstrates flexibility and adaptability in managing unforeseen challenges, providing support where it is needed most.

Technical Proficiency: 

• Skilled in using healthcare software applications and systems for accurate data entry and patient management.

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

PI21400c587444-34600-37829328

This position is part of the Northern California Mental Health Training Program and follows its regional policies and procedures. It is designed to provide advanced training and additional clinical supervision to Associate Marriage & Family Therapists, Associate Clinical Social Workers and Associate Professional Clinical Counselors (AMFT/ACSW/APCC) who have prior experience working in a mental health setting. Position meets the requirements for supervised training of Associate Marriage & Family Therapists, Associate Clinical Social Workers and Associate Professional Clinical Counselors working toward licensure and follows the guidelines as set forth by California Board of Behavioral Sciences. The Post Masters Fellowship position is based in outpatient Child and Family and/or Adult Psychiatry and/or Chemical Dependency and/or other teams as available. Primary supervision is provided by Licensed Mental Health Professionals.
Position is one year, temporary with benefits. This position ONLY pertains to the Northern California Mental Health Training Programs.

Essential Responsibilities:

• Provide psychotherapy to patients and co-facilitate family and/or group therapy. Actively participate in assigned clinical supervision.


• Weekly minimum of two (2) hours of individual supervision; two (2) hours of didactic training; and two (2) hours of case conference/group supervision.


• Actively participate in a minimum of thirty-two (32) hours annually of outside community partnership projects.


• Attend workshops and regional seminars on a regular basis as part of the training. Participate in staff meetings, case conferences, and other staff functions. Facilitate community outreach and community referrals as needed.


• Maintain confidential patient files/records and information in a timely manner.


• Comply with regional and local policies and procedures.


• Comply with the Code of Ethics and state laws pertaining to the delivery of mental health services.


• Team-specific duties performed by fellows under the direct supervision of mental health licensed professional, including but not limited to the following: Adult Team, Child/Family Team, Chemical Dependency, Behavioral Medicine or others.


• Adult Team: Provide assessment and individual and group therapy to adults in a brief therapy model.


• Child/Family Team: Provide individual, family and/or group counseling to children, adolescents, and families


• Intensive Outpatient Program (IOP) : Provide services to patients needing more intensive treatment for stabilization, in a stepped-down treatment program for patients recently discharged from inpatient psychiatric unit.


• Bilingual Spanish Therapy: Provide assessment and individual, group therapy to adults in brief therapy model to patients who request clinical services in Spanish.


• Behavioral Medicine: Provide services to patients whose presenting problem is related to the treatment of a physical problem or psychological issues arising from a medical condition. Provide services to patients who are experiencing emotional or stress-related problems concurrent to receiving treatment for a medical diagnosis or physical symptom.


• Case Management: Provide individual, family and group psychotherapy services to patients with severe and persistent mental illness with goal of stabilization of symptoms. Facilitate treatment by interacting with psychiatric hospitals, partial hospitalization programs, crisis residential facilities, and other intensive programs.


• Chronic Pain Management: Provide services to patients who experience chronic pain, including teaching them pain management skills such as pacing, medication management, staying active, relaxation techniques and positive thinking.


• Eating Disorders: Provide services to adults, children, teens and families who have a diagnosis of an eating disorder.


• Other duties as assigned.


• Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Secondary Functions:

Track - Addiction Medicine Recovery Services
Hours/Days may vary
Primary location: 1201 Fillmore St.,San Francisco,CA,94115

Basic Qualifications:

Experience

• Successful completion of pre-masters internships in mental health settings.


• No applicant who has more than 2000 hours of supervision towards licensure will be accepted into the Training Program in their first training year by program start date.
  
  

Education

• Masters Degree in Social Work, Social Welfare from a clinical track, Clinical or Counseling Psychology or related field from an accredited college or university by program start date.
  
  

License, Certification, Registration

• Associate Marriage and Family Therapist (California) required at hire OR Registered Associate Clinical Social Worker (California) required at hire OR Associate Professional Clinical Counselor Registration (California) required at hire
  
  

Additional Requirements:

• Competence in: Mental Status Evaluation; Mandated Reporting; Suicide/ Homicide/ Danger Assessment; Ethics and Confidentiality; the DSM (Psychopathology/Abnormal Psychology); Theories and Practices of Psychotherapy; and Personality and Psychological Development; Domestic Violence; and Chemical Dependency.


• Demonstrated experience in providing individual, family and/or group psychotherapies.


• Demonstrated professional maturity and ethical integrity necessary for assuming professional responsibilities.


• Demonstrated commitment to quality of service, teamwork, and participation in a highly interactive multidisciplinary clinic.


• Demonstrated ability to complete multiple tasks/objectives in a timely manner.


• Must be able to work in a Labor/Management Partnership environment.
  
  

Preferred Qualifications:

• Experience and/or training in working with Adult and/or Child and Adolescent, Chemical Dependency, IOP or Bilingual Clinical Therapy populations preferred.


• Experience and/or training in establishing psychosocial diagnoses and providing standard psychotherapeutic services, preferred.


• Experience and/or training in Clinical Case Management, preferred.


• Experience and/or training in group therapy, preferred.


• Acquisition of a theoretical background in cognitive, emotional, and interpersonal functioning, abnormal psychology, and in the major schools of psychotherapy, preferred.

Job Summary:

Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member treatment program.

Essential Responsibilities:

• Develops, implements, coordinates, and evaluates clinical treatment programs for the diagnosis, treatment, and/or referral of Health Plan members with acute or chronic mental illness. Participates in staff conferences to select, plan, and evaluate treatment programs. Provides outpatient psychotherapy to individuals, couples, families and groups.


• Instructs and counsels patients and their families regarding compliance with prescribed therapeutic regimens and adherence to prescribed medication regimens, within the scope of practice. May administer specialized therapeutic procedures, as appropriate. Provides appropriate support to members family. May develop and conducts psychoeducational classes and groups.


• Prepares intake summaries, treatment plans, and case summaries and maintains ongoing confidential records. Charts members treatment and progress in accord with state and NCQA regulations and in keeping with accepted community standards. May be required to participate in the department on-call rotation.


• Collaborates with physicians in screening and evaluating patients for psychotropic medications, within the scope of practice. Utilizes resources of public and private agencies and community organizations to meet the needs of the members treatment. May develop, implements, and evaluates behavioral medicine and health psychology programs in a variety of settings, including primary care. Provides consultation to other care providers and health educators on matters relating to mental health, health psychology and behavioral medicine.


• May supervise Post Masters Fellows, Associate Clinical Social Workers, Associate Marriage Family Therapists or Associate Professional Clinical Counselors as needed if supervision course is completed.


• May provide appropriate support to members family, including explanation of treatment, instructions in how to support treatment and interventions to increase acceptance of and adherence to treatment, at members request.


• Utilizes resources of public and private agencies and community organizations to meet the needs of the members treatment to include referral of the member and/or members family to external resources, as appropriate. Participates in departmental program development, implementation and evaluation.


• Reports safety concerns to mandated reporting agencies.

Basic Qualifications:

Experience

• N/A

Education

• Masters degree in Social Work, Social Welfare from a clinical track, Clinical or Counseling Psychology or related field required from an accredited college or university.

License, Certification, Registration

• Licensed Clinical Social Worker (California)

• Licensed Marriage and Family Therapist (California)

• Licensed Professional Clinical Counselor (California) AND Licensed Professional Clinical Counselor Couples and Families Endorsement (California) within 24 months of hire

• National Provider Identifier required at hire

Additional Requirements:

• Must be familiar with DSM-V as a means of diagnosis.
• Has experience in assessing, diagnosing and treating a broad range of psychiatric conditions.
• Excellent interpersonal and communication skills.
• Knowledge of social service agencies, state regulations, and professional board standards as is related to member treatment, patient rights, and member/patient confidentiality.
• May be required to participate in the department on-call rotation.
• Knowledge of Evidence-Based Practice and psychotherapy research methods.
• Knowledge of the bio-psycho-social functions that contribute to mental health.
• Accuracy in diagnosing patients and developing effective treatment plans.
• Competence in individual, family and group psychotherapy.
• Professional maturity and ethical integrity necessary for assuming professional responsibilities.
• Commitment to quality of service, teamwork, and participation in a highly interactive multidisciplinary clinic.
• Ability to complete multiple tasks/objectives in a timely manner.
• Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:

• Previous post license, experience as a member of a psychiatric treatment team in an outpatient or inpatient setting/program under licensed supervision.
• Previous clinical responsibility to include crisis intervention, individual and group psychotherapy.
• Demonstrated professional maturity and ethical integrity necessary for assuming professional responsibilities, preferred.
• Demonstrated commitment to quality of service, teamwork, and participation in a highly interactive multidisciplinary clinic, preferred.
• Demonstrated ability to complete multiple tasks/objectives in a timely manner, preferred.
• Accuracy in diagnosing patients and developing effective treatment plans, preferred.
• Competence in individual, family and group psychotherapy, preferred.