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.
Were 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 Medicares 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 Compact 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 call 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.
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