In-Home Chronic Care Advocate

Upward Health, Inc.; Lombard (IL); On-site; USD 25,000 - 36,000; 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. You will guide enrollment, coordinate virtual visits with providers, and ensure adherence to individualized care plans to improve outcomes.

The role emphasizes relationship-building, education, and proactive coordination to prevent hospitalizations and support whole-person health across physical, behavioral, and social domains.

Qualifications

• Minimum 2 years of relevant work experience in community health or related roles.
• High school diploma or GED required.
• Valid driver’s license, auto insurance, reliable transportation within territory.
• Experience in chronic care management or with chronically ill/elderly patients.

Responsibilities

• Deliver chronic care management primarily in patients’ homes and communities (90%), with virtual care (10%).
• Outreach to patients, enrollment guidance, and coordination of virtual appointments with providers.

Skills

Community health worker background

Interpersonal communication

Multilingual (plus)

EMR proficiency

Motivational interviewing

Trauma-informed care

Independent work

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. You will guide enrollment, coordinate virtual visits with providers, and ensure adherence to individualized care plans to improve outcomes.

The role emphasizes relationship-building, education, and proactive coordination to prevent hospitalizations and support whole-person health across physical, behavioral, and social domains.