Bilingual LPN Care Coach

Summary

Join CircleLink Health® as a Care Coach and make a difference in the lives of patients with chronic conditions! Working remotely 20-25 hours per week, you'll collaborate with a team of nurses to manage patients enrolled in Medicare's Chronic Care Management program. Your responsibilities include educating patients on self-management, implementing care plans, utilizing motivational interviewing techniques, conducting transitional care management, and connecting patients with community resources. This 1099 contract position offers flexible hours and compensation based on clinical encounters, patient withdrawals, and unsuccessful contact attempts. The ideal candidate is a detail-oriented LPN with 5+ years of experience, fluency in English and Spanish, and a passion for nursing.

Requirements

• Be fluent in English AND Spanish
• Meet communication skills, must be self-directed, able to work independently with little supervision while meeting performance metrics
• Have a passion for nursing
• Be detail-oriented
• Possess excellent organizational and time management skills
• Possess strong communication and telephonic skills
• Possess strong critical thinking and problem-solving skills
• Commit to a certain number of hours per day and days of the week
• Be available to make calls on weekdays between 9-6p MST
• This role cannot be held alongside a full-time position
• Have a STRONG internet-connected computer (for LPNs)
• Hold a current, unrestricted Compact LPN license
• Be proficient with electronic health records and web-based applications
• Have 5+ years of experience as a Licensed Practical Nurse

Responsibilities

• Educate patients on self-management skills and goal setting
• Implement and improve the Plan of Care by updating medications, appointments due, record biometrics, vital signs, and care coaching provided
• Utilize Motivational Interviewing or other behavior change techniques to coach and assist the patient with self-management
• Conduct Transitional Care Management activities to high risk patients discharged from the hospital and the ER to reduce unnecessary readmissions, including medication reconciliation, medication adherence, identify red flags, address barriers, encourage follow-up care, how and when to seek appropriate level of care
• Reduce care gaps by encouraging or assisting with preventive care, and chronic care management, i.e. annual well visits, follow up visits, medication management, pre-visit labs, diagnostic tests due, preventive cancer screens
• Connect the patient with community resources as needed, including transportation, personal care needs, homemaker or chore services, social services, etc

Preferred Qualifications

• Have Case Management or Chronic Disease Management experience
• Hold Case Management Certification
• Be a Certified Diabetes Educator
• Have Transitional Care Management experience
• Have experience with Motivational Interviewing or other behavior change communication techniques

Benefits

• Compensation is paid at the rate of $10.00 per initial clinical encounter per patient per month
• Care Coaches shall be entitled to $3.00 in the event that a patient within their caseload withdraws from the Chronic Care Management Program
• A compensation of $4.00 will be paid out following five unsuccessful attempts to contact the patient without receiving a response