Job details

LPN Care Coach

Our Mission:

CircleLink Health® is a company of passionate clinicians, technologists and business people tackling the $600B problem of preventable chronic condition complications. Our mission is to accelerate the shift to preventative care (from status quo reactive care) through our world-class preventative care platform.

Your Impact On Our Mission:

As a Care Coach you will work remotely for 20-25 hours per week with a team of nurses to manage patients with chronic conditions enrolled in Medicare’s Chronic Care Management program.

Your day to day is…

Educating patients on self-management skills and goal setting. Chronic conditions include: Diabetes, CHF, COPD/Asthma, Hypertension, CAD, Ischemic Heart Disease, Anxiety, 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, including medication reconciliation, medication adherence, identify red flags, address barriers, encourage follow-up care, how and when to seek appropriate level of care.
Reduce 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.
Meet communication skills, must be self-directed, able to work independently with little supervision while meeting performance metrics
Passion for nursing.
Detail-oriented.
Excellent organizational and time management skills.
Strong communication and telephonic skills.
Strong critical thinking and problem-solving skills.
Commitment to certain number of hours per day and days of week
Availability to make calls on weekdays between 9am-6pm ET. Evening hours are NOT available.
This role cannot be held alongside a full-time position.
LPN needs a STRONG internet-connected computer.

Required Education and Experience:

Current, unrestricted Compact LPN license
Proficiency with electronic health records and web based applications
5+ years experience as a Licensed Practical Nurse

Preferred Education and Experience, but not required:

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

Compensation:

This is a 1099 contract position with no end date. Care Coaches are responsible for their own taxes and insurance.

Compensation is paid at the rate of $10.00 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 with 2 patients and spent 20 minutes with each of them, your pay for that hour would be $20.00 ($10.00/pt. reached x 2).

In addition to successful clinical encounters, Care Coaches shall be entitled to $3.00 in the event that a patient within their caseload withdraws from the Chronic Care Management Program.
Additionally, a compensation of $4.00 will be paid out following five unsuccessful attempts to contact the patient without receiving a response.

About CircleLink Health:

CircleLink is a digital healthcare company that improves health for the chronically ill by engaging patients through personal phone calls and/or mobile technology, helping to solve the ~$600 billion problem of preventable chronic complications. Our patient engagement software and services enable physicians to monitor and manage their patients’ chronic conditions between office visits without investing in additional staff or technology.

Average salary estimate

$18000 / YEARLY (est.)

min

max

$12000K

$24000K

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What You Should Know About LPN Care Coach, CircleLink Health

As an LPN Care Coach at CircleLink Health®, you’ll play a pivotal role in transforming chronic care management into a proactive approach rather than a reactive one. Imagine working from home, dedicating 20-25 hours a week, where your expertise as a licensed practical nurse truly shines! You’ll be engaging with patients who are not just statistics but real people facing chronic conditions like Diabetes, Hypertension, and COPD. Your daily mission includes educating patients on self-management skills and empowering them to take charge of their health. With the help of our world-class preventative care platform, you’ll implement tailored Plans of Care by making adjustments to medications, tracking vital signs, and facilitating motivational interviewing sessions. But that’s not all! You’ll also be instrumental in reducing unnecessary hospital readmissions by conducting transitional care activities, which involve medication reconciliations and identifying potential red flags. Plus, you’ll connect patients with vital community resources, ensuring they have everything they need for a healthier tomorrow. All this while being supported by a forward-thinking team of nurses, it’s not just a job; it’s a chance to make a genuine impact on patients’ lives. If you’re self-directed, organized, and have a passion for nursing, the role of LPN Care Coach at CircleLink Health is calling your name!

Frequently Asked Questions (FAQs) for LPN Care Coach Role at CircleLink Health

What are the responsibilities of an LPN Care Coach at CircleLink Health?

As an LPN Care Coach at CircleLink Health, your main responsibilities include educating patients on self-management of chronic conditions, implementing and enhancing personalized Plans of Care, and conducting Transitional Care Management activities to prevent unnecessary readmissions. You'll utilize motivational interviewing techniques to support patients in their health journey while connecting them with community resources that facilitate their care.