Chronic Care Navigator — Home Visits

Upward Health, Inc.; Chicago (IL); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Upward Health, Inc. seeks a Care Specialist to deliver chronic care management to high-complexity patients in home and community settings, with minor virtual care. The role focuses on enrollment guidance, coordinating virtual visits, and ensuring care plan adherence to improve outcomes.

Candidates should have 2+ years in related roles, a high school diploma or GED, and a valid driver's license for territory travel. EMR proficiency and strong communication are essential.

Qualifications

• Minimum 2 years in relevant roles such as community health or home-based care.
• Requires high school diploma or GED.
• Must have a valid driver’s license, auto liability insurance, and reliable transportation for territory travel.
• Experience with chronic care management or chronically ill/elderly patients preferred.
• Proficient with basic computer skills and EMR systems.

Responsibilities

• Deliver chronic care management to high-complexity patients, primarily in patients' homes and communities.
• Outreach to patients, guiding enrollment, scheduling virtual appointments with providers, and ensuring adherence to care plans.
• Coordinate care and provide education to promote health and prevent hospitalizations.

Skills

Community health worker experience

Motivational interviewing

Care coordination

EMR systems

Interpersonal communication

Independent work

Multilingual skills

Home care experience

Chronic care management

Driver's license

Education

High school diploma or GED

Tools

EMR systems

Job description

Upward Health, Inc. seeks a Care Specialist to deliver chronic care management to high-complexity patients in home and community settings, with minor virtual care. The role focuses on enrollment guidance, coordinating virtual visits, and ensuring care plan adherence to improve outcomes.

Candidates should have 2+ years in related roles, a high school diploma or GED, and a valid driver's license for territory travel. EMR proficiency and strong communication are essential.