CircleLink Health is hiring a
LPN Care Coach

Summary

Join our team as a Care Coach and work remotely for 20-25 hours per week with a team of nurses to manage patients with chronic conditions enrolled in Medicare's Chronic Care Management program.

Requirements

• Fluent in English
• Meet communication skills, must be self-directed, able to work independently with little supervision while meeting performance metrics
• Passion for nursing
• Detail-oriented
• Excellent organizational and time management skills
• Strong communication and telephonic skills
• Strong critical thinking and problem-solving skills
• Commitment to certain number of hours per day and days of week
• Availability to make calls on weekdays between 9am-7pm ET
• LPN needs a STRONG internet-connected computer
• Current, unrestricted Compact LPN license
• Proficiency with electronic health records and web based applications
• 5+ years. experience as a Licensed Practical Nurse

Responsibilities

• Educating 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

Benefits

• $10.00 per initial clinical encounter per patient per month
• $3.00 in the event that a patient within their caseload withdraws from the Chronic Care Management Program
• $4.00 will be paid out following five unsuccessful attempts to contact the patient without receiving a response