Chronic Care Navigator - Home Visits & Virtual Care

Upward Health, Inc.; Town of Islip (NY); Hybrid; USD 29,000 - 34,000; Full time

Benefits offered by this job

Health benefits

Job summary

Upward Health, Inc. is seeking a Care Specialist to deliver chronic care management primarily in patients’ homes and communities, with some virtual care. You will guide enrollment, coordinate with providers, and ensure adherence to care plans to improve outcomes.

The role emphasizes patient engagement, education, and timely documentation, requiring strong communication, organization, and compassion in a mostly independent field setting.

Qualifications

• 2+ years in roles like Community Health Worker, Peer Support Specialist, Medical Assistant, etc.
• High school diploma or GED required.
• Valid driver's license, auto liability insurance, and reliable transportation for territory travel.

Responsibilities

• Deliver chronic care management to high‑complexity patients in homes and communities (90%) and virtual care (10%).
• Guide enrollment processes and coordinate virtual appointments with providers.
• Engage in patient outreach, education, and care coordination to prevent hospitalizations and improve outcomes.

Skills

Empathy

Communication skills

Multilingual (a plus)

Time management

Independence

Education

High school diploma or GED

Tools

EMR systems

Job description

Upward Health, Inc. is seeking a Care Specialist to deliver chronic care management primarily in patients’ homes and communities, with some virtual care. You will guide enrollment, coordinate with providers, and ensure adherence to care plans to improve outcomes.

The role emphasizes patient engagement, education, and timely documentation, requiring strong communication, organization, and compassion in a mostly independent field setting.