Bilingual LPN Care Coach - Bonus Eligible

Key Responsibilities

• Utilize our specialized care management software to call Medicare patients with 2 or more chronic conditions (Diabetes, CHF, Chronic Pain, COPD, etc.) on a monthly basis
• Build and maintain rapport with patients to help coach them to improved health through SMART goals and education on self-management strategies
• Implement and improve the Plan of Care by updating medications, appointments due, biometrics, symptoms, and interventions made
• Connect the patient with community resources as needed, including transportation, personal care needs, prescription/DME assistance, social services, etc.
• Conduct Transitional Care Management activities to high risk patients discharged from the hospital and the ER to reduce unnecessary readmissions
• Close care gaps by encouraging and assisting with preventive care measures, i.e. annual well visits, vaccines, cancer screens, follow-up/specialist appointments, etc

Requirements

• Fluent in both English and Spanish is a must
• Self-directed, able to work independently with little supervision while meeting performance metrics
• Passion for nursing and improving patient outcomes
• Good with technology and eager to learn and use new software
• Excellent organizational and time management skills
• Timely communication is essential, and nurses are expected to respond to all messages and emails within 24-48 hours
• Strong critical thinking and problem-solving skills

Education and Experience

• A current, unrestricted Multistate LPN or New Mexico LPN license is required
• Proficiency with EPIC electronic health record and web-based applications is a must
• 3-5+ years' experience as a nurse preferred
• Case Management or Chronic Disease Management experience highly preferred
• Certified Diabetes Educator experience preferred
• Experience with Motivational Interviewing or other behavior change communication techniques preferred

Scheduling and Other Requirements

• LPN needs a STRONG internet-connected computer and this will be tested
• You must have a minimum of 20 hours of availability per week between the hours of 8 am and 5 pm MST, Monday- Saturday
• Your schedule will be flexible
• Each LPN will commit to their own schedule using our software
• This is a 1099 contract position with no end date
• Care coaches are responsible for their own equipment, taxes and insurance

Pay and Benefits

• LPN Care Coach compensation is paid at the rate of $11.00 for the first 20-minute increment (20-min milestone), $9.50 for the second 20-minute increment (40-min milestone), and $9.00 for the 3rd 20-minute increment (60-min milestone)
• A clinical encounter occurs after two criteria are met: 1/ A successful interactive clinical call with the patient or their caregiver. 2/ A 20-min, or 40-min, or 60-min milestone is met on the patient's chart
• Example pay scenarios, but not limited to: Two 20-min successful calls with 2 different patients pays $22 for the two 20-min visits. ($11+$11=$22.00) A 40-min encounter with the same patient pays $20.50. ($11+$9.50=$20.50) A 60-min encounter with the same patient pays $29.50. ($11+$9.50+$9=$29.50)
• Bonus Eligibility: Coaches who successfully complete THREE months of employment and meet all performance expectations will be eligible for a $300 performance bonus
• Pay Timing: Monthly via direct deposit, 40 days after the last day of the first month of service. This is due to the time it takes Medicare to process reimbursements, audit documentation, etc. Thereafter, you will be paid approximately every 30 days after each month

About CircleLink Health

CircleLink Health is a company of passionate clinicians, technologists and businesspeople tackling the $600B problem of preventable chronic and post-acute complications. We're building a world-class Care Management platform to enable providers while accelerating the shift to preventative care instead of status quo reactive care. Learn more about us here.