In-Home Chronic Care Specialist

Upward Health, Inc.; Illinois; On-site; USD 42,000 - 56,000; Full time

Job summary

Upward Health is seeking a Care Specialist to deliver chronic care management primarily in patients' homes across Illinois. You will enroll patients, coordinate virtual appointments, and ensure adherence to care plans, collaborating with physicians and care teams to improve outcomes.

The role emphasizes outreach, empathetic communication, and independent work in home environments, with a focus on reducing hospitalizations and supporting whole-person care.

Qualifications

• Minimum 2 years of relevant work experience (e.g., Community Health Worker, Peer Support Specialist, Medical Assistant).
• 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.

Responsibilities

• Engage patients in home visits and community outreach to coordinate care.
• Guide enrollment and facilitate virtual appointments with providers.
• Ensure adherence to care plans and promote health outcomes to prevent hospitalizations.
• Build relationships with patients, families, and interdisciplinary teams to support care.

Skills

Home visits

Chronic care management

Communication

Time management

Care coordination

EMR proficiency

Motivational interviewing

Interpersonal skills

Education

High school diploma or GED

Job description

Upward Health is seeking a Care Specialist to deliver chronic care management primarily in patients' homes across Illinois. You will enroll patients, coordinate virtual appointments, and ensure adherence to care plans, collaborating with physicians and care teams to improve outcomes.

The role emphasizes outreach, empathetic communication, and independent work in home environments, with a focus on reducing hospitalizations and supporting whole-person care.