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 (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, 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
• 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

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: 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).
• Bonus eligibility: Coaches who successfully complete THREE months of employment and meet all performance expectations will be eligible for a $300 performance bonus.

Pay

• Pay timing: Monthly via direct deposit, 40 days after the last day of the first month of service. After that, you will be paid approximately every 30 days after each month.