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 role (20-25 hours/week) involves conducting 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, strong time management, and a commitment to achieving positive patient outcomes. The position offers flexibility and the opportunity to work remotely, but demands precision, discipline, and accountability. Compensation is based on clinical encounters, and the role is a 1099 contract position.

Requirements

• Current, unrestricted New York RN license required
• Proficiency with EHRs (electronic health records) and web-based applications
• 3 or more years' experience as a Registered Nurse
• Immediate availability
• 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
• Must have a STRONG internet-connected computer
• Computer and internet speed tests will be required
• A minimum of 20 hours of day time availability per week required
• You will commit to your own schedule using our software
• This is a 1099 contract position with no end date
• Care Coaches are responsible for their own equipment, taxes and insurance

Responsibilities

• Utilize our specialized care management software to call Medicare patients with two 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 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 highly preferred
• Certified Diabetes Educator desired but not required
• Experience with Motivational Interviewing or other behavior change communication techniques is a plus!

Benefits

• Compensation is paid at the rate of $15.00 per initial clinical encounter per patient per month
• 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
• All checks after the first will be deposited about 30 days after the last day of the month of service
• This is a remote role