Registered Nurse Care Coach
WFA Digital Insight
The demand for skilled remote nurses has skyrocketed, with a 25% increase in job postings over the past year. As a registered nurse, you're likely no stranger to the challenges of patient care, but a role like this requires a unique blend of clinical expertise, tech savvy, and strong communication skills. CircleLink Health is at the forefront of this shift, leveraging technology to deliver high-quality care management services. With the Chronicle Care Management Program, you'll have the opportunity to work with patients who require ongoing support and guidance. Before applying, consider whether your skills and experience align with the demands of this fast-paced, performance-driven environment.
Job Description
About the Role
The Registered Nurse Care Coach role at CircleLink Health is a part-time, remote position that requires a unique blend of clinical expertise, technical skills, and strong communication abilities. As a care coach, you will be responsible for managing a caseload of patients enrolled in the Chronic Care Management Program, providing monthly support and guidance to help them achieve their health goals. This role is an excellent opportunity for nurses who are passionate about delivering high-quality patient care and are looking for a new challenge in a remote setting.Day-to-day, you will be working independently to manage your patient caseload, utilizing specialized care management software to track patient progress and communicate with patients and their caregivers. You will also be responsible for coordinating care services, such as scheduling appointments and arranging for transportation, to ensure that patients receive the support they need.
What You Will Do
- Utilize care management software to call Medicare patients with 2 or more chronic conditions on a monthly basis
- Build and maintain rapport with patients to help coach them to improved health through SMART goals and education on self-management strategies
- Implement and improve the Plan of Care by updating medications, appointments due, biometrics, symptoms, and interventions made
- Connect patients with community resources as needed, including transportation, personal care needs, prescription/DME assistance, social services, etc.
- 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 and assisting with preventive care measures, such as annual well visits, vaccines, cancer screens, follow-up/specialist appointments, etc.
- Utilize electronic health records and web-based applications to document patient interactions and track patient progress
- Respond to all messages and emails within 24-48 hours to ensure timely communication with patients and caregivers
- Collaborate with other healthcare professionals to develop and implement comprehensive care plans
- Stay up-to-date with the latest developments in care management and chronic disease management
What We Are Looking For
- Current, unrestricted Compact License / multistate RN license
- Proficiency with electronic health records and web-based applications
- 3+ years of experience as a Registered Nurse
- Excellent documentation skills, with the ability to chart complete, timely, and accurate patient information
- Strong time management skills, with the ability to prioritize and manage multiple tasks and deadlines
- Ownership of outcomes, with a focus on delivering high-quality patient care and achieving positive health outcomes
- Fluency in English, with excellent communication and interpersonal skills
- Ability to work independently with minimal supervision, while meeting performance metrics and deadlines
- Passion for nursing and improving patient outcomes, with a commitment to delivering high-quality care
Nice to Have
- Spanish fluency
- Case Management or Chronic Disease Management experience
- Certified Diabetes Educator
- Experience with Motivational Interviewing or other behavior change communication techniques
Benefits and Perks
- Competitive compensation, with a rate of 5.00 for the first 20-minute increment,2 for the second 20-minute increment, and1.50 for the third 20-minute increment
- Opportunity to work remotely, with a flexible schedule that allows for work-life balance
- Access to specialized care management software and electronic health records
- Collaborative and supportive team environment, with opportunities for professional development and growth
- Autonomy to manage patient caseload and develop comprehensive care plans
- Opportunity to make a positive impact on patient health outcomes and deliver high-quality care
How to Stand Out
- Develop your skills in care management software and electronic health records to increase your chances of success in this role
- Highlight your experience working with patients with chronic conditions and your ability to develop comprehensive care plans
- Be prepared to discuss your approach to patient communication and education, and how you would handle complex patient cases
- Consider obtaining certifications such as Certified Diabetes Educator or Case Management certification to increase your competitiveness
- Research CircleLink Health and the Chronic Care Management Program to understand the company's mission and values, and be prepared to discuss how your skills and experience align with these goals
- Prepare examples of your experience working independently and managing multiple tasks and deadlines, and be ready to discuss your approach to time management and prioritization
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