This is a remote role. CircleLink Health is looking for passionate, tech savvy nurses to work remotely and serve patients enrolled in Medicare’s Chronic Care Management Program. In this part time role (about 20-25 hrs. per week), an LPN Care Coach will be assigned a group of patients that they will be following and calling each month. In these monthly calls you will provide education, coordinate care, close preventive care gaps, and coach on strategies for self-management to keep them out of the hospital.
This Role Requires Precision, Discipline, and Accountability
The Care Manager role is not a step back from bedside nursing — it’s a step into a more complex, structured, and performance-driven environment. To succeed, you must bring more than clinical knowledge:
✅ Excellent documentation skills — Your charting must be complete, timely, and accurate.
✅ Strong time management — Case tasks must be prioritized and closed on schedule.
✅ Ownership of outcomes — Each case is closely tracked for quality, compliance, and effectiveness.
Expectations are high, and performance is regularly reviewed. This is not a role where details can be missed or timelines pushed — we need professionals who take initiative, stay organized, and consistently deliver.
If you’re ready for a challenging, fast-paced environment where your work is held to high standards and makes a real difference, we encourage you to apply.
Key Responsibilities:
- 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
- Timely communication is essential, and nurses are expected to respond to all messages and emails within 24–48 hours.
- Strong critical thinking and problem-solving skills
Education and Experience:
- Current, unrestricted Multistate LPN or New Mexico LPN license is required. If you are not sure, please check your nursing license on www.Nursys.com
- Proficiency with EPIC electronic health record and web-based applications is a must.
- 3-5+ years' experience as a nurse
Preferred Education and Experience, but not required:
- Case Management or Chronic Disease Management experience highly preferred
- Certified Diabetes Educator
- Experience with Motivational Interviewing or other behavior change communication techniques
Scheduling and other Requirements
- 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. You will not have to work every day-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.
Compensation:
LPN Care Coach compensation is paid at the rate of $11.00 for the first 20-minute increment (20-min milestone), $9.50 for the second 20-minute increment (40-min milestone), and $9.00 for the 3rd 20-minute increment (60-min milestone).
A clinical encounter occurs after two criteria are met:1/ A successful interactive clinical call with the patient or their caregiver. 2/ A 20-min, or 40-min, or 60-min milestone is met on the patient's chart. Example pay scenarios, but not limited to:
- Two 20-min successful calls with 2 different patients pays $22 for the two 20-min visits. ($11+$11=$22.00)
- A 40-min encounter with the same patient pays $20.50. ($11+$9.50=$20.50).
- A 60-min encounter with the same patient pays $29.50. ($11+$9.50+$9=$29.50)
Bonus Eligibility: Coaches who successfully complete THREE months of employment and meet all performance expectations will be eligible for a $300 performance bonus.
Pay Timing:
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.
About CircleLink Health:
CircleLink Health is a company of passionate clinicians, technologists and businesspeople tackling the $600B 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.