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CircleLink Health

Bilingual RN Care Coach - Bonus Eligible

CircleLink Health, Albuquerque, New Mexico, United States

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This is a remote role.

CircleLink Health is looking for passionate, tech savvy registered 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 RN 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.

Qualifications

Fluent in 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 RN

or

New Mexico RN 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

highly preferred

3+ years' experience as a Registered 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

RN needs a STRONG internet-connected computer.

You must have a minimum of

20 hours of availability

per week sometime between the hours of 8 am and 5 pm

MST , Monday- Saturday. You do not have to work every day—your schedule is flexible.

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

Compensation RN Care Coach compensation is paid at the rate of $15.00 for the first 20‑minute increment (20‑min milestone), $12 for the second 20‑minute increment (40‑min milestone), and $11.50 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 $30 for the two 20‑min visits. ($15+$15=$30)

A 40‑min encounter with the same patient pays $27. ($15+$12=$27).

A 60‑min encounter with the same patient pays $38.50. ($15+$12+$11.50=$38.50)

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.

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