In-Home Chronic Care Specialist & Care Coordinator

Upward Health, Inc.; Bolingbrook (IL); On-site; USD 32,000 - 36,000; Full time

Job summary

Upward Health seeks a Care Specialist to deliver chronic care management to high-complexity patients, mainly in patients' homes with some virtual visits. This role involves direct outreach, enrollment guidance, and coordinating with providers to ensure adherence to care plans.

You will help promote health, prevent hospitalizations, and improve patient outcomes by building relationships, educating patients, and coordinating care across teams.

Qualifications

• Minimum of 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.
• Ability to prioritize tasks, manage schedules, and work independently in an unstructured environment.
• Multi-lingual skills.
• Prior home care experience is beneficial.

Responsibilities

• Deliver chronic care management to high-complexity patients.
• Work primarily in patients' homes and communities (90%) with virtual care (10%).
• Direct outreach to patients, guide enrollment, facilitate virtual appointments, and ensure adherence to care plans.
• Build relationships, coordinate care, and educate patients to promote health and prevent hospitalizations.

Skills

Community Health Worker

Peer Support Specialist

Medical Assistant

Motivational interviewing

Trauma-informed care

Care coordination

Multilingual

Interpersonal communication

Time management

Independent workstyle

Education

High school diploma or GED

Tools

EMR systems

Job description

Upward Health seeks a Care Specialist to deliver chronic care management to high-complexity patients, mainly in patients' homes with some virtual visits. This role involves direct outreach, enrollment guidance, and coordinating with providers to ensure adherence to care plans.

You will help promote health, prevent hospitalizations, and improve patient outcomes by building relationships, educating patients, and coordinating care across teams.