Registered Nurse Care Coach

Summary

Join CircleLink Health as a remote Registered Nurse Care Coach and make a real difference in the lives of Medicare patients. This part-time (20-25 hours/week) role involves conducting monthly calls with patients, providing education, coordinating care, closing preventive care gaps, and coaching on self-management strategies. You will utilize specialized care management software and maintain detailed documentation. Success requires excellent time management, ownership of outcomes, and a commitment to high standards. This is a challenging, fast-paced environment with high expectations and regular performance reviews. The position offers competitive compensation based on clinical encounters and bonus eligibility after three months of successful employment. This is a 1099 contract position.

Requirements

• Current, unrestricted Compact License or an RN license in: Georgia, Indiana, North Carolina, or Maryland, USA
• Proficiency with electronic health records and web-based applications
• 3+ years' experience as a Registered Nurse
• 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
• RN needs a STRONG internet-connected computer
• Minimum of 20 hours of availability per week required

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

• Spanish fluency
• Case Management or Chronic Disease Management experience highly preferred
• 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
• Bonus Eligibility: Coaches who successfully complete 3 months of employment and meet all performance expectations will be eligible for a $300 performance bonus
• Pay Timing: Monthly via direct deposit, 40 days after the last day of the month of service
• This is due to the time it takes Medicare to process reimbursements, but your monthly pay is guaranteed after the month is over
• This is a 1099 contract position with no end date
• Care coaches are responsible for their own taxes and insurance
• This is a remote role