RN Chronic Care Navigator - Remote Patient Management

Chronic Care Staffing LLC; Oregon; Hybrid; USD 56,000 - 84,000; Full time

Job summary

Chronic Care Staffing LLC is seeking an RN care coordinator to help patients manage chronic conditions through monthly calls, assessing health status, and educating patients while acting as a resource between the patient and the provider.

You will coordinate with providers and families, support self-management, ensure CMS compliance, and maintain a HIPAA-compliant home office with two monitors. Strong communication and EHR skills are essential.

Qualifications

• Unencumbered active compact RN license.
• Active BLS certification.
• Ability to plan and organize time effectively, work independently, and show good judgment.
• Excellent problem-solving, clinical reasoning, and critical thinking skills.
• Ability to communicate effectively both verbally and in writing.
• Knowledge of CCM regulations and CCM billing requirements.
• High proficiency in working within EHR systems.
• Demonstrated leadership skills, including the ability to guide, motivate, and support team members.
• Operational knowledge of Google Suite, Atlas, and other required software.

Responsibilities

• Conduct CCM monthly calls and enroll patients verbally when needed.
• Perform Health Risk Assessments and Transitional Care Management.
• Communicate with patients and families about chronic conditions, medications, and care plans.
• Coordinate effectively with providers, staff, and other healthcare professionals.
• Promote adherence to a care plan developed with the patient and care team.
• Assist patients in achieving self-management and shared decision-making goals.
• Perform medication reconciliation.
• Connect patients to community resources to improve health and reduce costs.
• Represent CCS professionally to providers and other professionals.
• Ensure compliance with CMS guidelines and organizational policies.
• Maintain required call volume and be a team player.

Skills

Active BLS certification

Communicate effectively

Problem solving

Clinical reasoning

Time management

Independent work

Leadership

Education

RN license (compact)

Tools

EHR systems

Google Suite

Atlas

Other software

Job description

Chronic Care Staffing LLC is seeking an RN care coordinator to help patients manage chronic conditions through monthly calls, assessing health status, and educating patients while acting as a resource between the patient and the provider.

You will coordinate with providers and families, support self-management, ensure CMS compliance, and maintain a HIPAA-compliant home office with two monitors. Strong communication and EHR skills are essential.