Bilingual LPN Care Coach - Eligible

Bilingual LPN Care Coach - Hiring Bonus (Circle Link Health)

Remote, Part‑time (20–25 hours per week)

Circle Link Health is looking for passionate, tech‑savvy nurses to work remotely and serve patients enrolled in Medicare’s Chronic Care Management Program. In this role, an LPN Care Coach will be assigned a group of patients to follow and call each month, providing education, coordinating care, closing preventive care gaps, and coaching on strategies for self‑management to keep them out of the hospital.

• Utilize our specialized care management software to call Medicare patients with 2 or more chronic conditions (Diabetes, CHF, Chronic Pain, COPD, etc.) 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 the patient 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, i.e., annual well visits, vaccines, cancer screens, follow‑up/specialist appointments, etc.

• Fluent in both English and Spanish is a must.
• 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.

• Current, unrestricted LPN Compact License or New Mexico LPN license is required.
• Proficiency with EPIC electronic health record and web‑based applications is a must.
• 3–5+ years’ experience as a nurse.

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

• LPN needs a strong internet‑connected computer and this will be tested.
• You must have a minimum of 20 hours of availability per week between the hours of 8 am and 5 pm MST, Monday–Saturday. Your schedule will be flexible.
• Each LPN will commit to their own schedule using our software.
• This is a 1099 contract position with no end date. Care coaches are responsible for their own equipment, taxes and insurance.

Care Coach compensation is paid at the rate of $11.00 per one, 20‑minute 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 the 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 $22.00 ($11.00/pt reached ×
  2).
• Ex:
  If in one hour you called and spoke with 2 patients and spent 40 minutes with each of them, your pay for that hour would be $41.00 ($20.50/pt reached ×
  2).
• Ex:
  If in one hour you called and spoke with 2 patients and spent 60 minutes with each of them, your pay for that hour would be $59.00 ($29.50/pt reached ×
  2).

Coaches who successfully complete THREE months of employment and meet all performance expectations will be eligible for a $300 performance bonus.

Monthly via direct deposit, 40 days after the last day of the first month of service. This is due to the time it takes Medicare to process reimbursements, audit documentation, etc. Thereafter, you will be paid approximately every 30 days after each month.

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