Home-Based Care Navigator for Chronic Care

Upward Health, Inc.; Carol Stream (IL); Hybrid; USD 38,000 - 52,000; Full time

Job summary

Upward Health, Inc. is hiring a Care Specialist to deliver chronic care management to high-complexity patients primarily in patients’ homes with some virtual care. The role focuses on enrollment guidance, coordinating virtual appointments, and ensuring adherence to care plans.

The candidate will build relationships, coordinate care, and educate patients to improve outcomes and reduce hospitalizations, while collaborating with interdisciplinary teams.

Qualifications

• Minimum of 2 years of relevant work experience (e.g., Community Health Worker, Peer Support Specialist, Medical Assistant, etc.).
• High school diploma or GED required.
• A valid driver’s license, auto liability insurance, and reliable transportation to travel within the assigned territory.
• Experience in chronic care management or working with chronically ill/elderly patients.
• Technologically proficient with basic computer skills (typing, using EMR systems).
• Experience with motivational interviewing, trauma-informed care, and care coordination.
• Strong interpersonal communication skills with the ability to engage patients and team members effectively.
• Ability to prioritize tasks, manage schedules, and work independently in an unstructured environment.
• Multi-lingual skills are a plus but not required.
• Prior home care experience is beneficial.

Responsibilities

• Deliver chronic care management to high-complexity patients, primarily in patients' homes (90%) and in virtual care (10%).
• Guide patients through enrollment, facilitate virtual appointments, and ensure adherence to care plans.
• Build relationships, coordinate care, and provide education to promote health and prevent hospitalizations.
• Collaborate with interdisciplinary teams to meet patient and organizational goals.

Job description

Upward Health, Inc. is hiring a Care Specialist to deliver chronic care management to high-complexity patients primarily in patients’ homes with some virtual care. The role focuses on enrollment guidance, coordinating virtual appointments, and ensuring adherence to care plans.

The candidate will build relationships, coordinate care, and educate patients to improve outcomes and reduce hospitalizations, while collaborating with interdisciplinary teams.