Bilingual RN Care Coach - Bonus Eligible

About the role

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

Responsibilities

• 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, such as annual well visits, vaccines, cancer screens, follow-up/specialist appointments, etc.

Requirements

• Fluent in 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 RN or New Mexico RN license
• Proficiency with EPIC electronic health record and web-based applications (preferred)
• Case Management or Chronic Disease Management experience (preferred)
• Certified Diabetes Educator (preferred)
• Experience with Motivational Interviewing or other behavior change communication techniques (preferred)

Skills

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

Benefits

• Compensation: $15.00 for the first 20-minute increment, $12 for the second 20-minute increment, and $11.50 for the third 20-minute increment
• Bonus eligibility: $300 performance bonus for completing three months of employment and meeting all performance expectations
• Pay timing: Monthly via direct deposit, 40 days after the last day of the first month of service. Subsequent payments are approximately every 30 days after each month.

Schedule

RN Care Coach needs a strong internet-connected computer and must have a minimum of 20 hours of availability per week, sometime between the hours of 8 am and 5 pm MST, Monday-Saturday. The schedule is flexible.

Contact

For inquiries, please email info@circlelinkhealth.com. Official CircleLink emails come only from @circlelinkhealth.com. For fraud alerts, contact info@circlelinkhealth.com.

About CircleLink Health

CircleLink Health is a company dedicated to addressing the $600 billion problem of preventable chronic and post-acute complications. We build a world-class Care Management platform to enable providers and accelerate the shift to preventative care instead of reactive care.