Remote RN Care Coach for Chronic Care (Part-Time)

Many patients, particularly those managing chronic conditions, find the time between doctor's appointments challenging. They often leave consultations with lingering questions or confusion about their care plans, and the typical 15-minute appointment every few months is insufficient for comprehensive management, especially when dealing with multiple conditions and medications. This can lead to patients feeling unsupported, resulting in poorer health outcomes and contributing to the significant costs associated with preventable chronic condition complications. Our customers, healthcare providers, face the challenge of extending their care beyond the clinic walls without overburdening their existing staff or incurring prohibitive costs. They need a way to proactively engage with their patients, ensure adherence to care plans, and identify potential issues early on, all while navigating the complexities of Medicare reimbursement programs.

CircleLink Health addresses these challenges directly by providing a comprehensive, turnkey care management solution. We partner with physician practices, offering a platform that combines software with a network of registered nurses and care coaches. This allows doctors to effectively monitor their patients remotely and intervene with personalized support. Our customers benefit from our expertise in engaging patients between office visits, a capability we've honed since before Medicare began incentivizing such programs. We handle the operational burdens of patient targeting, enrollment, and integration with various electronic health record (EHR) systems, enabling doctors to focus on in-person care while we manage the crucial follow-up. Our registered nurses conduct meaningful remote patient engagement, which has proven to be significantly more effective in patient retention compared to using medical assistants. This approach not only improves patient health outcomes and satisfaction but also allows providers to access new revenue streams through Medicare's Chronic Care Management (CCM), Behavioral Health Integration (BHI), and Remote Patient Monitoring (RPM) programs. We aim to help our customers improve the lives of their patients and their families by making preventative care more accessible and effective, ultimately working to reduce the substantial preventable healthcare costs related to chronic conditions.