Chronic illness is a growing issue in the workplace, and can prompt employees to reconsider their professional and personal goals due to potential future physical limitations. Coaching can provide support to keep employees in the workforce. In this study, 34 employed people with chronic illnesses participated in a chronic illness career coaching intervention to help develop personal resources to stay in the workforce. An analysis of data from exit interviews suggests that coaching supports coachees’ identity work and behavioral strategies for integrating illness and work, increasing their confidence and improving their expectations for continuing to work.