LPN Care Coach

CircleLink Health; Houston (TX); Remote; USD 24,000 - 36,000; Full time

Job summary

Join a forward-thinking digital healthcare company as a Care Coach, where your role will be pivotal in guiding patients through their chronic conditions. This position allows you to work remotely while collaborating with a dedicated team of nurses. You'll educate patients on self-management, implement care plans, and utilize motivational interviewing techniques to foster positive health outcomes. With a focus on preventative care, your contributions will directly impact the lives of patients enrolled in Medicare's Chronic Care Management program. If you're passionate about nursing and looking for a flexible opportunity, this role is perfect for you.

Qualifications

• LPN with 5+ years of experience and a current Compact license required.
• Strong communication, critical thinking, and organizational skills needed.

Responsibilities

• Educate patients on self-management skills for chronic conditions.
• Conduct Transitional Care Management activities to reduce readmissions.
• Connect patients with community resources and preventive care.

Skills

Fluent in English

Communication Skills

Self-directed

Detail-oriented

Organizational Skills

Time Management Skills

Critical Thinking

Problem-solving

Education

Current, unrestricted Compact LPN license

5+ years experience as a Licensed Practical Nurse

Proficiency with electronic health records

Tools

Electronic Health Records

Web-based applications

Job description

1 day ago Be among the first 25 applicants

Our Mission:
CircleLink Health is a company of passionate clinicians, technologists and business people tackling the $600B problem of preventable chronic condition complications. Our mission is to accelerate the shift to preventative care (from status quo reactive care) through our world-class preventative care platform.

Your Impact On Our Mission:
As a Care Coach you will work remotely for 20-25 hours per week with a team of nurses to manage patients with chronic conditions enrolled in Medicare's Chronic Care Management program.

Your day to day is...

• Educating patients on self-management skills and goal setting. Chronic conditions include: Diabetes, CHF, COPD/Asthma, Hypertension, CAD, Ischemic Heart Disease, Anxiety, Depression.
• Implement and improve the Plan of Care by updating medications, appointments due, record biometrics, vital signs, and care coaching provided.
• Utilize Motivational Interviewing or other behavior change techniques to coach and assist the patient with self-management.
• Conduct Transitional Care Management activities to high-risk patients discharged from the hospital and the ER to reduce unnecessary readmissions, including medication reconciliation, medication adherence, identify red flags, address barriers, encourage follow-up care, how and when to seek appropriate level of care.
• Reduce care gaps by encouraging or assisting with preventive care, and chronic care management, i.e. annual well visits, follow up visits, medication management, pre-visit labs, diagnostic tests due, preventive cancer screens.
• Connect the patient with community resources as needed, including transportation, personal care needs, homemaker or chore services, social services.

Requirements

Required Skills and Abilities:

• Fluent in English.
• Meet communication skills, must be self-directed, able to work independently with little supervision while meeting performance metrics.
• Passion for nursing.
• Detail-oriented.
• Excellent organizational and time management skills.
• Strong communication and telephonic skills.
• Strong critical thinking and problem-solving skills.
• Commitment to certain number of hours per day and days of week.
• Availability to make calls on weekdays between 9-6p MST or 11-8p EST.
• This role cannot be held alongside a full-time position.
• LPN needs a STRONG internet-connected computer.

Required Education and Experience:

• Current, unrestricted Compact LPN license.
• Proficiency with electronic health records and web-based applications.
• 5+ years experience as a Licensed Practical Nurse.

Preferred Education and Experience, but not required:

• Case Management or Chronic Disease Management experience.
• Case Management Certification.
• Certified Diabetes Educator.
• Transitional Care Management experience.
• Experience with Motivational Interviewing or other behavior change communication techniques.

Benefits

Compensation:
This is a 1099 contract position with no end date. Care Coaches are responsible for their own taxes and insurance.
Compensation is paid at the rate of $10.00 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. Ex: If in one hour you called and spoke with 2 patients and spent 20 minutes with each of them, your pay for that hour would be $20.00 ($10.00/pt. reached x 2).

• In addition to successful clinical encounters, Care Coaches shall be entitled to $3.00 in the event that a patient within their caseload withdraws from the Chronic Care Management Program.
• Additionally, a compensation of $4.00 will be paid out following five unsuccessful attempts to contact the patient without receiving a response.

About CircleLink Health:
CircleLink is a digital healthcare company that improves health for the chronically ill by engaging patients through personal phone calls and/or mobile technology, helping to solve the $600 billion problem of preventable chronic complications. Our patient engagement software and services enable physicians to monitor and manage their patients' chronic conditions between office visits without investing in additional staff or technology.

Seniority level

• Mid-Senior level

Employment type

• Contract

Job function

• Health Care Provider
• Industries
• IT Services and IT Consulting