Bilingual LPN Care Coach

Summary

Join CircleLink Health as a remote LPN Care Coach and make a real difference in the lives of Medicare patients. This part-time role (20-25 hours/week) involves monthly calls with patients to provide education, coordinate care, and coach them on self-management strategies. You will utilize specialized software to track patient progress and ensure quality care. Success requires excellent documentation, time management, and a commitment to achieving positive patient outcomes. The position demands precision, discipline, and accountability in a fast-paced environment. Fluency in English and Spanish is essential. This is a 1099 contract position.

Requirements

• Current, unrestricted LPN Compact License or New Mexico LPN license
• Proficiency with EPIC electronic health record and web-based applications
• 5+ years' experience as a Nurse
• 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
• Strong communication and telephonic skills
• Strong critical thinking and problem-solving skills
• LPN needs a STRONG internet-connected computer and this will be tested
• Minimum of 20 hours of availability per week required between the hours of 9am and 6 pm MST, Monday- Friday
• Each LPN will commit to their own schedule using our software
• Excellent documentation skills — Your charting must be complete, timely, and accurate
• Strong time management — Case tasks must be prioritized and closed on schedule
• Ownership of outcomes — Each case is closely tracked for quality, compliance, and effectiveness

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

Preferred Qualifications

• Case Management or Chronic Disease Management experience
• Certified Diabetes Educator
• Experience with Motivational Interviewing or other behavior change communication techniques

Benefits

• Care Coach compensation is paid at the rate of $15.00 per initial Clinical Encounter per patient per month
• A clinical encounter occurs after two criteria are met: a patient has a successful clinical call and the patient has 20 minutes or more of time in their chart timer
• Coaches who successfully complete 3 months of employment and meet all performance expectations will be eligible for a $300 performance bonus
• Monthly via direct deposit, 40 days after the last day of the first month of service
• This is due to the time it takes Medicare to process reimbursements, audit documentation, etc
• Thereafter, you will be paid approxiamately every 30 days after each month
• This is a 1099 contract position with no end date
• Care coaches are responsible for their own equipment, taxes and insurance