CircleLink Health is looking for an Illinois Licensed Registered Nurse Care Coach to join our team in a part-time, remote capacity. In this role, you will serve as a dedicated coach for Medicare patients enrolled in our Chronic Care Management Program, focusing on preventing hospitalizations through education and proactive care coordination.
What You'll Do
- Utilize specialized care management software to call a full caseload of Medicare patients with two or more chronic conditions monthly.
- Build and maintain rapport with patients to coach them toward improved health using SMART goals and education on self-management strategies.
- Implement and improve the Plan of Care by updating medications, appointments, biometrics, symptoms, and interventions.
- Connect patients with community resources such as transportation, personal care, prescription assistance, and social services.
- Conduct Transitional Care Management activities for high-risk patients discharged from the hospital or ER to reduce readmissions.
- Close preventive care gaps by encouraging annual well visits, vaccines, cancer screens, and specialist appointments.
What We're Looking For
- Fluent in English.
- Current, unrestricted Illinois RN license.
- 3 or more years' experience as a Registered Nurse.
- 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.
- Strong communication and telephonic skills.
- Strong critical thinking and problem-solving skills.
- Proficiency with EHRs (electronic health records) and web-based applications.
- Must have a STRONG internet-connected computer (equipment not provided).
- A minimum of 20 hours of day time availability per week is required.
- Ability to commit to your own schedule using our software.
Nice to Have
- Case Management or Chronic Disease Management experience highly preferred.
- Certified Diabetes Educator desired, but not required.
- Experience with Motivational Interviewing or other behavior change communication techniques is a plus.
Technical Stack
- Specialized care management software
- EHRs (electronic health records)
- Web-based applications
Work Mode
This is a fully remote, part-time position. You will work from your own home office using your own equipment.
CircleLink Health is an equal opportunity employer.
