In-Home Chronic Care Specialist & Coordinator

Upward Health, Inc.; Melville (NY); On-site; USD 29,000 - 34,000; Full time

Benefits offered by this job

Upward Health Benefits

Upward Health Core Values

YouTube Channel

Job summary

Upward Health, Inc. is seeking a Care Specialist to deliver chronic care management primarily in patients' homes with some virtual care. You will guide enrollment, coordinate appointments, and ensure adherence to care plans.

The role emphasizes outreach, education, and promoting health outcomes across multidisciplinary teams. Ideal candidates have 2+ years of related experience, a valid driver’s license, and comfort with EMR systems.

Qualifications

• High school diploma or GED required.
• Minimum of 2 years of relevant work experience (e.g., Community Health Worker, Peer Support Specialist, Medical Assistant).
• 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 are a plus but not required.
• Prior home care experience is beneficial.

Responsibilities

• Deliver chronic care management to high-complexity patients.
• Travel within the assigned territory using a personal vehicle.
• Guide patients through enrollment processes and facilitate virtual appointments.
• Ensure adherence to care plans and educate patients.
• Build relationships and coordinate care among providers.
• Promote health and prevent hospitalizations through proactive outreach.

Skills

Community health outreach

Interpersonal communication

Motivational interviewing

Care coordination

EMR systems proficiency

Multilingual skills (nice to have)

Education

High school diploma or GED

Tools

EMR systems

Job description

Upward Health, Inc. is seeking a Care Specialist to deliver chronic care management primarily in patients' homes with some virtual care. You will guide enrollment, coordinate appointments, and ensure adherence to care plans.

The role emphasizes outreach, education, and promoting health outcomes across multidisciplinary teams. Ideal candidates have 2+ years of related experience, a valid driver’s license, and comfort with EMR systems.