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Registered Nurse – Care Coach
CircleLink HealthRegistered Nurse Care Coach for Medicare's Chronic Care Management Program working remotely. In this role, you will educate and coordinate care for patients with chronic conditions.
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- 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
- Timely communication is essential, and nurses are expected to respond to all messages and emails within 24–48 hours.
- Strong critical thinking and problem-solving skills
- Current, unrestricted Compact License / multistate RN license
- Proficiency with electronic health records and web-based applications
- 3+ years' experience as a Registered Nurse
Benefits
Comp & perks- RN Care Coach compensation is paid at the rate of $15.00 for the first 20-minute increment (20-min milestone)
- $12 for the second 20-minute increment (40-min milestone)
- $11.50 for the 3rd 20-minute increment (60-min milestone)
- Monthly via direct deposit, 40 days after the last day of the month of service
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Care Management SoftwareChronic Condition ManagementPlan of Care ImplementationTransitional Care ManagementPreventive Care Measures
Soft Skills
Self-DirectedOrganizational SkillsTime ManagementCommunication SkillsProblem-Solving Skills
Certifications
Compact LicenseMultistate RN License