Bilingual RN Care Coach - Eligible

Overview

Bilingual Registered Nurse Care Coach - BONUS Eligible (remote, part-time)

Circle Link Health is looking for passionate, tech-savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part-time role (about 20-25 hrs per week), an RN Care Coach will be assigned a group of patients they will follow and call each month. In these monthly calls you will provide education, coordinate care, close preventive care gaps, and coach on strategies for self-management to keep patients out of the hospital.

This role requires precision, discipline, and accountability.

The Care Manager role is a move into a more complex, structured, and performance-driven environment. To succeed, you must bring more than clinical knowledge:

Key capabilities include excellent documentation skills, strong time management, ownership of outcomes, and the ability to work independently to meet performance metrics. This is a high-expectation role with regular performance reviews. If you are ready for a challenging, fast-paced environment where your work makes a real difference, apply.

• 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 coach them to improved health through SMART goals and education on self-management strategies
• Implement and update the Plan of Care by tracking medications, due appointments, biometrics, symptoms, and interventions
• Connect patients with community resources as needed (transportation, personal care needs, prescription/DME assistance, social services, etc.)
• Conduct Transitional Care Management activities for high-risk patients discharged from hospital/ER to reduce readmissions
• Close care gaps by encouraging and assisting with preventive care measures (annual well visits, vaccines, cancer screens, follow-up/specialist appointments, etc.)

• Fluent in English and Spanish is a must
• Self-directed, able to work independently with little supervision while meeting performance metrics
• Passion for nursing and improving patient outcomes
• Comfort with technology and willingness to learn new software
• Excellent organizational and time management skills
• Strong communication and telephonic skills
• Strong critical thinking and problem-solving skills

• Current, unrestricted RN Compact License or New Mexico RN license
• Proficiency with EPIC electronic health record and web-based applications highly preferred
• 3+ years' experience as a Registered Nurse

• Case Management or Chronic Disease Management experience highly preferred
• Certified Diabetes Educator
• Experience with Motivational Interviewing or other behavior change communication techniques

• RN needs a strong internet-connected computer (this will be tested)
• Minimum of 20 hours of work availability per week between 9am and 6pm MST
• This is a 1099 contract position with no end date. Care coaches are responsible for their own equipment, taxes, and insurance

Compensation: 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.

Example: if in one hour you called and spoke with 2 patients and spent 30 minutes with each, your pay for that hour would be $30.00 ($15.00/pt reached x
2).

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 first month of service. Thereafter, pay is approximately every 30 days after each month.

Circle Link Health is a company of clinicians, technologists and business people tackling the $600B problem of preventable chronic and post-acute complications. We are building a world-class Care Management platform to enable providers while accelerating the shift to preventative care. Learn more about us here.

• Seniority level
  :
  Mid-Senior level
• Employment type
  :
  Contract
• Job function
  :
  Other
• Industries
  : IT Services and IT Consulting