CircleLink Health is hiring a
Registered Nurse Care Coach

Summary

The job is a remote, part-time (20-25 hours per week) role as an RN Care Coach at CircleLink Health. The role involves serving patients enrolled in Medicare’s Chronic Care Management Program and providing education, coordinating care, closing preventive care gaps, and coaching on strategies for self-management to keep them out of the hospital.

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
• Strong communication and telephonic skills
• Strong critical thinking and problem solving skills
• Current, unrestricted Compact License
• Proficiency with electronic health records and web based applications
• 3+ years experience as a Registered Nurse

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 Coaches can earn up to $45.00 per hour
• Compensation is paid at the rate of $15.00 per initial Clinical Encounter per patient per month
• Pay Timing: Monthly via direct deposit, 40 days after the last day of the month of service