Telehealth RN Care Coach - Part Time

About CircleLink Health:

CircleLink Health is a company of passionate clinicians, technologists and business people tackling the $600B problem of preventable chronic and post-acute complications. We’re building the world-class Care Management platform to enable providers while accelerating the shift to preventative care instead of status quo reactive care. 

Your Impact On Our Mission:

As a Care Coach you will work remotely using our preventative care platform for 20-25 hours per week to manage patients with chronic conditions enrolled in Medicare’s Chronic Care Management program. 

Core Responsibilities:

• Educating patients on self-management skills and goal setting. Common chronic conditions include: Diabetes, CHF, COPD/Asthma, Hypertension, CAD, Chronic Pain, Anxiety, and 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.
• Close 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, etc.

Required Skills and Abilities:

• Fluent in English
• Self-directed, able to work independently with little supervision while meeting performance metrics
• Passion for nursing and improving patient outcomes
• Excellent organizational and time management skills
• Strong communication and telephonic skills
• Strong critical thinking and problem solving skills

Education and Experience:

• Current, unrestricted Ohio License
• Proficiency with electronic health records and web based applications 
• 3+ years experience as a Registered Nurse

Preferred Education and Experience, but not required:

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

Scheduling and Other Requirements

• RN needs a STRONG internet-connected computer
• Minimum of 20-25 hours of availability per week required
  • You will commit to your own schedule using our software
• Work must be completed on weekdays between 9am-6pm
• This is a 1099 contract position with no end date. Care coaches are responsible for their own taxes and insurance.

Compensation:

Care Coaches can earn up to $40.50 per hour. Compensation is paid at the rate of $13.50 per initial Clinical Encounter per patient per month.  A clinical encounter occurs after two criteria are met: a patient has a successful clinical encounter and the patient has 20 minutes or more of time in their chart timer. 

• Ex: If in one hour you called and spoke 3 patients and spent 20 minutes with each of them, your pay for that hour would be $40.50 per hour ($13.50/pt reached x 3) 
• Ex: If in one hour you called and spoke with 2 patients and spent 30 minutes with each of them, your pay for that hour would be $27.00 ($13.50/pt reached x 2). 

Pay Timing:

Occurs monthly, 40 days after the last day of the month of service.