In-Home Chronic Care Navigator

The Blue Venture Fund; Melville (NY); On-site; USD 29,000 - 34,000; Full time

Benefits offered by this job

Job summary

Upward Health seeks a Care Specialist to deliver chronic care management to high‑complexity patients in patients’ homes and社区 settings, with occasional virtual visits. You will lead enrollment, coordinate with providers, and educate patients to improve outcomes and reduce hospitalizations.

Ideal candidates have 2+ years in relevant roles, a high school diploma or GED, a valid driver’s license, and EMR proficiency.

Qualifications

• 2+ years in community health or similar roles.
• High school diploma or GED required.
• Valid driver’s license and reliable transportation.
• Experience in chronic care management or with chronically ill patients.
• EMR systems experience.

Responsibilities

• Deliver chronic care management to high‑complexity patients.
• Primarily perform in-home visits; 10% virtual care.
• Facilitate enrollment processes and guide patients through care plans.
• Coordinate care and provide patient education to improve outcomes.
• Engage patients and families to promote adherence and reduce hospitalizations.

Skills

2+ years exp

High school diploma

Valid driver’s license

Chronic care management

EMR proficiency

Motivational interviewing

Trauma-informed care

Care coordination

Interpersonal comms

Independent work

Multilingual a plus

Home care exp

Job description

Upward Health seeks a Care Specialist to deliver chronic care management to high‑complexity patients in patients’ homes and社区 settings, with occasional virtual visits. You will lead enrollment, coordinate with providers, and educate patients to improve outcomes and reduce hospitalizations.

Ideal candidates have 2+ years in relevant roles, a high school diploma or GED, a valid driver’s license, and EMR proficiency.