Remote Registered Nurse Care Coach

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CircleLink Health

πŸ’΅ $31k-$62k
πŸ“Remote - United States

Job highlights

Summary

Join CircleLink Health as a remote RN Care Coach and serve patients enrolled in Medicare's Chronic Care Management Program, providing education, coordinating care, and coaching on self-management strategies.

Requirements

  • Current, unrestricted New York License
  • Proficiency with electronic health records and web based applications
  • 10+ 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

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

  • 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

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