Illinois Licensed Registered Nurse Care Coach - Remote
C
CircleLink HealthHealthcare
United States. Illinois, United States. Indiana, United States. Wisconsin, United States. Ohio, United States. Kentucky, United StatesContractMiddle
Salary not disclosed
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Job Details
- Languages
- English
- Experience
- 3 or more years' experience as a Registered Nurse
- Required Skills
- Time ManagementCritical thinkingEHR
Requirements
- Fluent in English
- 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 Illinois RN license
- Proficiency with EHRs (electronic health records) and web-based applications
- 3 or more years' experience as a Registered Nurse
- 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
- Must have a STRONG internet-connected computer
- A minimum of 20 hours of day time availability per week is required
Responsibilities
- Utilize our specialized care management software to call a full caseload of Medicare patients with two 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 preventive care measures, i.e. annual well visits, vaccines, cancer screens, follow-up/specialist appointments, etc.
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