Bilingual LPN Care Coach - Bonus Eligible

About the role

CircleLink Health is seeking a passionate, tech-savvy LPN Care Coach to work remotely and support patients enrolled in Medicare's Chronic Care Management Program.

Responsibilities

• Utilize specialized care management software to call Medicare patients with 2 or more chronic conditions monthly.
• 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, biometrics, symptoms, and interventions.
• Connect patients 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, such as annual well visits, vaccines, cancer screens, follow-up/specialist appointments, etc.

Requirements

• Fluent in both English and Spanish.
• Able to work independently with little supervision while meeting performance metrics.
• Passionate about 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.

Qualifications

• Current, unrestricted Multistate LPN or New Mexico LPN license.
• Proficiency with EPIC electronic health record and web-based applications.
• 3-5+ years' experience as a nurse.
• Preferred: Case Management or Chronic Disease Management experience; Certified Diabetes Educator; Experience with Motivational Interviewing or other behavior change communication techniques.

Skills

• Excellent documentation skills.
• Strong time management.
• Ownership of outcomes.

Benefits

• Compensation: $11.00 for the first 20-minute increment, $9.50 for the second 20-minute increment, and $9.00 for the third 20-minute increment.
• Bonus eligibility: Three months of employment and meeting all performance expectations for a $300 performance bonus.
• Pay timing: Monthly via direct deposit, approximately every 30 days after each month of service.

Scheduling and Other Requirements

• LPN needs a strong internet-connected computer and will be tested.
• Must have a minimum of 20 hours of availability per week between 8 am and 5 pm MST, Monday-Saturday.
• Schedules are flexible, but LPNs are responsible for their own equipment, taxes, and insurance.