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 combating anxiety to accessing medically tailored meals because we know that health requires care for the whole person. Its no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Supervisor, Nursing Operations plays a key leadership role in overseeing the day-to-day operations of the nursing team, including triage nurses, remote nurse care managers, and field-based nurses. This position ensures the delivery of high-quality, patient-centered care across all markets through clinical oversight, training, performance management, and workflow optimization.
The Supervisor partners closely with Clinical Operations and interdisciplinary teams to support transitions of care, care plan development, proactive outreach, and triage functions. They are responsible for ensuring clinical protocols are followed, performance expectations are met, and that care is coordinated efficiently and effectively to drive improved patient outcomes.
Responsibilities:
Provide direct supervision, mentorship, and support to a team of nurses including Triage Nurses (TRNs) and Nurse Care Managers (NCMs). Oversee day-to-day team activities, ensuring timely outreach, triage follow-ups, and completion of assessments and care planning. Support transitions of care, including ED and inpatient discharge workflows, ensuring post-discharge follow-up standards are met. Monitor team productivity, call volumes, and documentation to ensure compliance with internal standards and payer requirements. Analyze performance data, generate reports, and use insights to drive continuous improvement and operational excellence. Partner with leadership to develop training content and ensure onboarding, ongoing education, and professional growth of nursing staff. Collaborate cross-functionally with clinical leadership, providers, and other departments to enhance patient care delivery. Maintain consistency in workflows and lead performance evaluations, coaching, and corrective actions as needed. Ensure compliance with clinical guidelines, regulatory requirements, and quality standards (e.g., URAC, NCQA).Skills Required:
Unrestricted RN license in the state(s) of care management activities a minimum requirement. At least 5 years of experience in a healthcare setting with demonstrated leadership in nursing operations, care coordination, or telehealth/triage roles, including oversight of clinical workflows, team performance, and quality improvement initiatives. Certified Case Manager (CCM) or similar care management certification is preferred but not required.Strong understanding of care transitions, discharge planning, and telephonic triage. Experience with supervisory responsibilities, including performance management, coaching, and training. Strong organizational and time management skills, with the ability to prioritize and meet deadlines. Ability to maintain professional boundaries with both team members and patients. Cultural humility and the ability to engage with diverse patient populations. Strong problem-solving skills and the ability to manage clinical escalations.Key Behaviors:
Leadership & Mentorship:
Builds high-functioning teams, provides clear direction, and fosters professional development. Ensures the team remains motivated, informed, and well-prepared to deliver high-quality patient care.Collaboration & Teamwork:
Works effectively with cross-functional teams to coordinate care and optimize patient outcomes. Collaborates with Clinical Operations leadership to address challenges and improve processes.Efficiency & Time Management:
Demonstrates strong organizational skills and the ability to prioritize tasks, ensuring timely patient outreach and follow-up care.Patient-Centered Focus:
Always advocates for the best interests of patients, ensuring care plans are clearly communicated, implemented, and followed through.Adaptability:
Thrives in a fast-paced, dynamic environment, showing flexibility and responsiveness to the evolving needs of the organization and patients.Data-Driven Decision Making:
Utilizes data to drive operational improvements, assess team performance, and ensure the highest quality of care for patients.Effective Communication:
Engages in open, respectful communication with staff, patients, and other stakeholders.Competencies:
Clinical Expertise:
In-depth knowledge of triage protocols and telephonic care coordination.Supervisory Skills:
Ability to manage a team of nurses, including conducting performance evaluations, training new hires, and fostering professional growth.Critical Thinking & Problem Solving:
Ability to identify gaps in care or workflow inefficiencies, applying critical thinking to resolve issues.Operational Excellence:
Strong understanding of workflow management, team productivity, and patient care optimization.Technology Proficiency:
Experience using various technology tools (EHR, CRM, Microsoft Excel) to document patient care, track team performance, and generate reports.Communication & Relationship Building:
Skilled in both written and oral communication, effectively conveying information to diverse groups, including patients, families, and healthcare providers.Cultural Competence:
Demonstrates sensitivity to cultural differences and engages with patients and colleagues in a respectful and inclusive manner.Outcome-Focused:
Committed to achieving positive clinical and operational outcomes through effective management and coordination of triage care.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.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
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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 combating anxiety to accessing medically tailored meals because we know that health requires care for the whole person. Its no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Supervisor, Nursing Operations plays a key leadership role in overseeing the day-to-day operations of the nursing team, including triage nurses, remote nurse care managers, and field-based nurses. This position ensures the delivery of high-quality, patient-centered care across all markets through clinical oversight, training, performance management, and workflow optimization.
The Supervisor partners closely with Clinical Operations and interdisciplinary teams to support transitions of care, care plan development, proactive outreach, and triage functions. They are responsible for ensuring clinical protocols are followed, performance expectations are met, and that care is coordinated efficiently and effectively to drive improved patient outcomes.
Responsibilities:
Provide direct supervision, mentorship, and support to a team of nurses including Triage Nurses (TRNs) and Nurse Care Managers (NCMs). Oversee day-to-day team activities, ensuring timely outreach, triage follow-ups, and completion of assessments and care planning. Support transitions of care, including ED and inpatient discharge workflows, ensuring post-discharge follow-up standards are met. Monitor team productivity, call volumes, and documentation to ensure compliance with internal standards and payer requirements. Analyze performance data, generate reports, and use insights to drive continuous improvement and operational excellence. Partner with leadership to develop training content and ensure onboarding, ongoing education, and professional growth of nursing staff. Collaborate cross-functionally with clinical leadership, providers, and other departments to enhance patient care delivery. Maintain consistency in workflows and lead performance evaluations, coaching, and corrective actions as needed. Ensure compliance with clinical guidelines, regulatory requirements, and quality standards (e.g., URAC, NCQA).Skills Required:
Unrestricted RN license in the state(s) of care management activities a minimum requirement. At least 5 years of experience in a healthcare setting with demonstrated leadership in nursing operations, care coordination, or telehealth/triage roles, including oversight of clinical workflows, team performance, and quality improvement initiatives. Certified Case Manager (CCM) or similar care management certification is preferred but not required.Strong understanding of care transitions, discharge planning, and telephonic triage. Experience with supervisory responsibilities, including performance management, coaching, and training. Strong organizational and time management skills, with the ability to prioritize and meet deadlines. Ability to maintain professional boundaries with both team members and patients. Cultural humility and the ability to engage with diverse patient populations. Strong problem-solving skills and the ability to manage clinical escalations.Key Behaviors:
Leadership & Mentorship:
Builds high-functioning teams, provides clear direction, and fosters professional development. Ensures the team remains motivated, informed, and well-prepared to deliver high-quality patient care.Collaboration & Teamwork:
Works effectively with cross-functional teams to coordinate care and optimize patient outcomes. Collaborates with Clinical Operations leadership to address challenges and improve processes.Efficiency & Time Management:
Demonstrates strong organizational skills and the ability to prioritize tasks, ensuring timely patient outreach and follow-up care.Patient-Centered Focus:
Always advocates for the best interests of patients, ensuring care plans are clearly communicated, implemented, and followed through.Adaptability:
Thrives in a fast-paced, dynamic environment, showing flexibility and responsiveness to the evolving needs of the organization and patients.Data-Driven Decision Making:
Utilizes data to drive operational improvements, assess team performance, and ensure the highest quality of care for patients.Effective Communication:
Engages in open, respectful communication with staff, patients, and other stakeholders.Competencies:
Clinical Expertise:
In-depth knowledge of triage protocols and telephonic care coordination.Supervisory Skills:
Ability to manage a team of nurses, including conducting performance evaluations, training new hires, and fostering professional growth.Critical Thinking & Problem Solving:
Ability to identify gaps in care or workflow inefficiencies, applying critical thinking to resolve issues.Operational Excellence:
Strong understanding of workflow management, team productivity, and patient care optimization.Technology Proficiency:
Experience using various technology tools (EHR, CRM, Microsoft Excel) to document patient care, track team performance, and generate reports.Communication & Relationship Building:
Skilled in both written and oral communication, effectively conveying information to diverse groups, including patients, families, and healthcare providers.Cultural Competence:
Demonstrates sensitivity to cultural differences and engages with patients and colleagues in a respectful and inclusive manner.Outcome-Focused:
Committed to achieving positive clinical and operational outcomes through effective management and coordination of triage care.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.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
PI9296cadfe5-
Read Less
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. Its no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Supervisor, Clinical Operations oversees the day-to-day activities of Upward Healths Care Specialists, guiding a team that includes medical assistants, certified nursing assistants, community health workers, and peer support specialists. This role involves supervising and coordinating the work of Care Specialists, supporting training efforts, ensuring care coordination across medical and behavioral providers, and providing assistance to patients. The Supervisor will also handle community outreach, manage caseloads, ensure compliance with Upward Healths policies, and help the Manager of Clinical Operations with various leadership duties.
Skills Required:
Minimum of 5 years in a healthcare-related field supporting patient care, public health, or population health. At least 2 years of supervisory experience. Strong organizational, time management, and communication skills. Proficiency in Microsoft Excel for data analysis and reporting. Experience or interest in working with underserved populations, particularly in community health. Valid driver's license and auto liability insurance. Ability to perform home visits and outreach. Knowledge of community resources and services.
Key Behaviors:
Leadership and Accountability:
Demonstrates the ability to effectively supervise and support the team, ensuring tasks are completed in a timely and efficient manner.Empathy and Cultural Competency:
Shows an understanding of diverse populations, respecting cultural differences, and engaging with patients and team members accordingly.Adaptability:
Thrives in a dynamic, fast-paced environment with evolving protocols and responsibilities.Collaboration:
Works well within a team, fostering a collaborative work culture to achieve patient care goals.Communication:
Excellent written and oral communication skills, ensuring clear, proactive communication within the team and with patients.Problem-Solving:
Takes initiative to address challenges in patient care and team coordination, ensuring optimal solutions are implemented.Competencies:
Supervisory Skills:
Proven ability to manage and mentor a multidisciplinary team, providing direction, feedback, and support.Patient-Centered Care:
Focused on improving patient outcomes by coordinating care and engaging with patients in a compassionate, supportive manner.Community Engagement:
Ability to represent Upward Health in the community, building and maintaining strong relationships with local resources.Data Management and Reporting:
Capable of managing, analyzing, and presenting data using Excel and other tools to drive clinical and operational improvements.Training and Development:
Experience in training new staff, ensuring that they understand protocols and are well-equipped to provide high-quality care.Compliance and Quality Assurance:
Ensures adherence to policies and procedures, maintaining high standards of care and meeting regulatory requirements.
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.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
PIcd1acd0de8eb-2377
Read LessCompany 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. Its no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Claims Resolution Manager leads the end-to-end process of resolving outstanding and denied medical claims. This role ensures timely reimbursement, compliance with payer requirements, and optimal revenue cycle performance. The ideal candidate is a problem solver who blends deep knowledge of healthcare revenue cycle operations with team-building and payer relationship skills.
Key Responsibilities:
Claims Oversight & Resolution Direct and manage the claims resolution team to ensure prompt follow-up on unpaid, denied, or underpaid claims. Analyze payer trends to identify root causes of denials and implement proactive corrective actions. Oversee appeals, resubmissions, and secondary claims to maximize recoveries. Process & Performance Management Establish and monitor key performance indicators (KPIs) such as days in A/R, denial rate, and cash collections. Develop standardized workflows and best practices to drive efficiency and accuracy. Partner with Revenue Cycle, Coding, and Clinical Operations teams to prevent rework and reduce avoidable denials. Compliance & Payer Relations Ensure all activities comply with federal and state regulations, payer contracts, and HIPAA requirements. Serve as the escalation point for payer disputes and foster strong relationships with payers to facilitate timely resolution. Leadership & Collaboration Recruit, train, and mentor claims resolution staff. Collaborate with Finance, Technology, and Market Operations to support company-wide revenue cycle initiatives.
Qualifications:
Experience: 5+ years in medical claims resolution, revenue cycle management, or payer operations, with at least 2 years in a leadership or supervisory capacity. Knowledge: Expertise in Medicare, Medicaid, and commercial payer rules, including value-based and risk-bearing arrangements. Skills: Advanced Microsoft Excel proficiency, including pivot tables, v-lookups, and complex formula building for data analysis and reporting. Strong analytical and problem-solving abilities. Excellent communication and negotiation skills. Proficiency in EHR/PM and claims management systems. Preferred: Experience with Salesforce Health Cloud and Athenahealth (Athena) practice management/EHR systems. Education: Bachelors degree in healthcare administration, finance, or related field (or equivalent experience).
Key Competencies:
Results-oriented with a continuous improvement mindset. Skilled at interpreting complex payer policies and regulatory guidance. Team-oriented leader who models integrity and accountability. Ability to thrive in a fast-growing, mission-driven healthcare organization.
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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.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
PIf68c386b5-
Read Less
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. Its no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Technology Support Specialist is a critical member of the Upward Health Technology Department, responsible for delivering front-line technical support for a variety of end-user systems while assisting with the maintenance of Upward Health's logistical operations. The role is perfect for an individual who thrives in high-demand environments, is familiar with Microsoft and Android platforms, and enjoys teaching users while offering effective technical support. This position offers the opportunity to gain valuable experience in service and technical roles while being part of a collaborative team focused on system administration, support, and training for our clinical teams across the United States.
Skills Required:
Strong understanding of Microsoft and Android platforms. Proficiency with Microsoft administrative tools, including Excel, Outlook, SharePoint, Teams, Visio, and Word. Expertise in troubleshooting technical issues and providing timely solutions. Ability to perform device and account-level configuration and maintenance, ensuring system security. Skilled in creating and maintaining documentation, knowledgebases, and training resources. Excellent communication skills, both verbal and written, with a focus on customer service and approachability. Ability to work independently while being part of a dynamic, team-oriented environment. Ability to deliver reports and summaries to management highlighting technical issues and proposing resolutions. Fluency in English required; Spanish fluency is a plus.
Key Behaviors:
Customer-Oriented:
Demonstrates a focus on providing excellent customer service, ensuring end users receive clear, friendly, and timely assistance.Problem-Solving:
Approaches issues with a positive attitude, using available resources and knowledge to solve user problems efficiently.Adaptability:
Remains flexible in adjusting to evolving work conditions and new technologies or systems.Attention to Detail:
Carefully documents all support tickets, user interactions, and troubleshooting steps.Effective Communication:
Communicates issues and solutions clearly and effectively, both verbally and in writing, to non-technical users.Active Listening:
Listens carefully to users to understand their issues fully before taking action.Team Collaboration:
Works well in a team environment, collaborating with other support staff to resolve issues quickly and efficiently.Time Management:
Manages multiple tasks simultaneously, prioritizing issues based on urgency and impact.Patience:
Displays patience when dealing with frustrated or non-technical users, ensuring they feel supported throughout the process.Learning Mindset:
Continuously seeks opportunities to learn new technologies, tools, and processes to improve service delivery.Competencies:
Technical Troubleshooting:
Ability to identify, diagnose, and resolve basic technical issues related to hardware, software, and network problems.Knowledge of IT Systems:
Understanding of operating systems (Windows, macOS, Linux), office applications (Microsoft Office Suite), and common software used in a business environment.Ticketing System Proficiency:
Experience using help desk software (e.g., Jira, ServiceNow, Zendesk) for tracking support requests and progress.Basic Networking Knowledge:
Familiarity with networking basics, such as IP addresses, DNS, and troubleshooting connectivity issues.Knowledge Base Management:
Ability to maintain and update documentation and internal knowledge bases for common problems and solutions.System Setup and Configuration:
Competence in setting up and configuring hardware (PCs, laptops, printers) and software applications.Security Awareness:
Understanding of basic security principles, such as password management, phishing threats, and device security protocols.Escalation Procedures:
Knowledge of when and how to escalate complex issues to higher-level support or specialized teams.End-User Support:
Ability to support end users with software installations, troubleshooting, and answering questions on system usage.Documentation and Reporting:
Competence in documenting user issues, troubleshooting steps, and resolutions in a clear and organized manner.
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.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
PIed18a-5337
Read LessCompany 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. Its no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Community & Partner Relations Coordinator (CPRC) plays a vital role in embedding Upward Health within the local care ecosystem. This position is responsible for building and strengthening relationships with community-based organizations (CBOs), clinical providers, and ancillary service partners such as labs and imaging centers. By cultivating these partnerships, the CPRC helps create a seamless, person-centered network of support that meets both the clinical and basic needs of our patients. The CPRC also leads the development and ongoing maintenance of a robust, up-to-date resource directory to connect patients to essential servicessupporting our commitment to whole-person care.
Key Responsibilities
Identify and engage key organizations and influencers to build robust local networks of clinical and community partners. Maintain and update partner directories (CBOs and clinical providers) in Salesforce, aligned to market needs and service availability. Ensure external clinical and community partners meet quality standards and are aligned with patient needs (e.g., housing, food, transportation). Serve as the primary liaison for external partners, including PCPs, specialists, SNFs, labs, imaging centers, and community organizations. Facilitate regular check-ins and feedback loops with partners to align expectations, monitor progress toward enrollment and quality goals, and resolve challenges. Support care teams by sourcing relevant resources to address UH patients' clinical and social needs.Develop a strong understanding of application processes for key community resources (e.g., SNAP, Medicaid, housing assistance), and support care team training and education to ensure accurate and efficient completion.
Use data driven approach to develop targeted interventions/campaign that help drive enrollments, improve Annual Wellness Visits, close quality gaps and reduce readmissions.
Skills Required:
Network development, relationship management and stakeholder engagement Experience in healthcare, social services, or community outreach Strong verbal and written communication CRM/EMR proficiency (Salesforce preferred) Organizational and time management skills Data analysis and interpretation Knowledge of social service programs (e.g., SNAP, housing assistance)Key Behaviors:
Builds trust and rapport with diverse partners and stakeholders Takes initiative in outreach and follow-ups (in-the-field and telephonic) Displays cultural sensitivity and community awareness Demonstrates adaptability in dynamic, multi-stakeholder environments Maintains professionalism in all communications and representations Provides proactive support to internal care teamsCompetencies:
Interpersonal Communication:
Able to connect and communicate effectively with both clinical and community partners.Collaboration:
Works closely with care teams and external organizations to align on goals and ensure smooth patient transitions.Problem Solving:
Uses data and partner feedback to troubleshoot gaps in care and improve resource navigation.Technology Proficiency:
Comfortable using tools like Salesforce and EMRs to manage partner directories and track outcomes.Community Engagement:
Acts as a liaison between Upward Health and the local ecosystem, representing the organization at events and meetings.Attention to Detail:
Ensures accurate and up-to-date documentation of resources and partner relationships.
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.
California pay range $60,000 - $65,000 USDUpward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
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