Registered Nurse Care Coach

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.) monthly to provide education, coordinate care, close preventive care gaps, and coach on self-management strategies.
• Build and maintain rapport with patients to help them achieve 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 such as transportation, personal care needs, prescription/DME assistance, social services, etc.
• Conduct Transitional Care Management activities for 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
• 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

• Current, unrestricted Compact License / multistate RN license
• Proficiency with electronic health records and web-based applications
• 3+ years' experience as a Registered Nurse
• Preferred: Case Management or Chronic Disease Management experience, Certified Diabetes Educator, experience with Motivational Interviewing or other behavior change communication techniques

Scheduling and Other Requirements

• RN needs a STRONG internet-connected computer
• Minimum of 20 hours of availability per week required
• You will commit to your own schedule using our software
• This is a 1099 contract position with no end date
• Care coaches are responsible for their own taxes and insurance

Pay and Benefits

• RN Care Coach compensation is paid at the rate of $15.00 for the first 20-minute increment (20-min milestone), $12 for the second 20-minute increment (40-min milestone), and $11.50 for the 3rd 20-minute increment (60-min milestone).
• Pay timing: Monthly via direct deposit, 40 days after the last day of the month of service.
• Your pay after the first check will be 30 days from the end of the previous month.

CircleLink Health

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.