Registered Nurse Care Coach

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 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 highly preferred
• 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

• 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)
• 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 $30 for the two 20-min visits. ($15+$15=$30)
  A 40-min encounter with the same patient pays $27. ($15+$12=$27)
  A 60-min encounter with the same patient pays $38.50. ($15+$12+$11.50=$38.50)
• Pay Timing: Monthly via direct deposit, 40 days after the last day of the month of service

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.