Description

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This is a remote role. ChronicCare is seeking dedicated and tech-savvy Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) to join our team remotely to support Medicare patients through our Chronic Care Management (CCM) program. This flexible, part-time position offers the opportunity to make a real impact by helping patients manage multiple chronic conditions, prevent unnecessary hospitalizations, and achieve better health outcomes—all from the comfort of your home. As a Nurse Care Coach, you will conduct monthly check-ins with patients to provide clinical guidance, care coordination, education, and support, helping them navigate the complexities of chronic disease management.

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Key Responsibilities:

• Use our specialized CCM software to connect monthly with Medicare patients who have 2 or more chronic conditions (e.g., Diabetes, CHF, COPD, Chronic Pain, Hypertension, Depression, etc.)

• Build strong rapport with patients and serve as a trusted clinical resource and care navigator

• Deliver individualized coaching and education to help patients understand their conditions, medications, and treatment plans

• Set and support SMART health goals to promote self-management and improve quality of life

• Monitor and document changes in symptoms, biometrics, functional status, and medication adherence

• Collaborate with providers to update and enhance the patient’s Personalized Care Plan

• Identify and address barriers to care such as transportation, medication affordability, or social support

• Close preventive care gaps by encouraging and scheduling services like wellness visits, screenings, and immunizations

• Conduct Transitional Care Management (TCM) calls for high-risk patients recently discharged from hospitals or emergency departments to reduce the risk of readmission

 

Requirements

• Fluent in English with strong communication and clinical assessment skills

• Self-starter who can work independently and meet performance goals

• Passionate about improving patient outcomes through education, engagement, and consistent follow-up

• Tech-savvy and comfortable using electronic documentation and care platforms

• Excellent time management, attention to detail, and organizational skills

 

Education and Experience:

• Active, unrestricted LPN or RN license in New York State

• 3+ years of clinical experience (home health, primary care, case management, or chronic disease management preferred)

• Proficiency with EHRs and web-based applications

 

Preferred Education and Experience, but not required:

• Prior experience in Care Management, Population Health, or Telehealth

• Training in Motivational Interviewing or behavioral health coaching

• Experience with Medicare patients and documentation standards

 

Scheduling and Other Requirements

• Minimum 15–25 hours/week of availability required, Monday through Friday between 9 AM – 6 PM ET

• Evening and weekend hours not available

• This position cannot be combined with a full-time job

• Must have a high-speed internet connection, secure computer, and HIPAA-compliant work environment

• You will manage your own schedule using our platform

 

Benefits

Compensation:

• $25–$30/hour, based on licensure and experience

• Pay is structured around 3 Clinical Encounters per hour. A clinical encounter includes:

  1. A successful clinical call with the patient, or

  2. At least 20 minutes of documented chart activity (e.g., review, coordination, planning)

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Pay Timing:

Monthly via direct deposit, 40 days after the end of the service month, due to Medicare processing timelines. Payments are guaranteed at the close of each service month.

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About ChronicCare:

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ChronicCare is a team of dedicated clinicians, technologists, and healthcare professionals committed to reducing the $600 billion burden of preventable chronic and post-acute complications. Our innovative Care Management platform empowers providers to deliver proactive, preventive care—shifting away from the traditional reactive model. Together, we’re transforming healthcare for better outcomes, lower costs, and healthier lives.

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