Home-Based Chronic Care Specialist

Upward Health, Inc.; Elgin (IL); Hybrid; USD 40,000 - 60,000; Full time

Job summary

Upward Health in Illinois seeks a Care Specialist to deliver chronic care management to high-complexity patients, mostly in home and community settings, with some virtual care. You will directly outreach to patients, guide enrollment, and coordinate appointments to ensure adherence to care plans.

The role emphasizes relationship-building, education, and coordinating care to improve outcomes and reduce hospitalizations, using EMR tools and a patient-centered approach.

Qualifications

• Minimum 2 years of relevant work experience (e.g., CHW, Peer Support Specialist, Medical Assistant).
• High school diploma or GED required.
• Valid driver’s license, auto liability insurance, and reliable transportation within territory.
• Experience in chronic care management or working with chronically ill/elderly patients.
• Technologically proficient with basic computer skills.

Responsibilities

• Deliver chronic care management to high-complexity patients, primarily in patients' homes and communities.
• Engage in outreach, guide enrollment processes, and coordinate virtual appointments with providers.
• Build relationships, coordinate care, and provide education to promote health and reduce hospitalizations.

Skills

Community Health Worker

Care Coordination

Motivational Interviewing

Interpersonal Communication

Education

High school diploma or GED

Tools

EMR systems

Job description

Upward Health in Illinois seeks a Care Specialist to deliver chronic care management to high-complexity patients, mostly in home and community settings, with some virtual care. You will directly outreach to patients, guide enrollment, and coordinate appointments to ensure adherence to care plans.

The role emphasizes relationship-building, education, and coordinating care to improve outcomes and reduce hospitalizations, using EMR tools and a patient-centered approach.