Illinois Licensed Registered Nurse Care Coach - Remote

CircleLink Health

4d•$15•Remote

About The Position

CircleLink Health is seeking passionate, tech-savvy Registered Nurses licensed in Illinois to work remotely and serve patients enrolled in Medicare’s Chronic Care Management Program. This is a part-time role requiring approximately 20 to 25 hours per week, depending on caseload. The RN Care Coach will be responsible for following a group of assigned patients, conducting monthly calls to provide education, coordinate care, close preventive care gaps, and coach on self-management strategies to reduce hospitalizations. This role demands precision, discipline, and accountability, moving beyond bedside nursing into a complex, structured, and performance-driven environment. Success requires excellent documentation, strong time management, and ownership of patient outcomes. Performance is regularly reviewed, and attention to detail and initiative are crucial. This is a challenging, fast-paced role where high standards are expected, and the work makes a significant difference.

Requirements

Current, unrestricted Illinois RN license is required.
Proficiency with EHRs (electronic health records) and web-based applications.
3 or more years' experience as a Registered Nurse.
Excellent documentation skills — 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.
Must have a STRONG internet-connected computer. Equipment is NOT provided by the company.
A minimum of 20 hours of day time availability per week is required between 9am and 6pm Eastern, Monday-Sunday.

Nice To Haves

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.

Responsibilities

Utilize 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 coach them towards 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 patients with community resources as needed, including transportation, personal care needs, prescription/DME assistance, and social services.
Conduct Transitional Care Management activities for high-risk patients discharged from the hospital and ER to reduce unnecessary readmissions.
Close care gaps by encouraging preventive care measures, such as annual well visits, vaccines, cancer screens, and follow-up/specialist appointments.
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.