REMOTE POSITION: Seeking Incentive-Minded LPN/LVN for Chronic Care Management, Remote Role and CCM Experience Required

We are seeking incentive-minded individuals who want to maximize their income based on productivity. Convergence Telehealth is currently recruiting full and part-time remote Care Management Team- Nurse Case Managers with a passion for delivering a high-quality customer experience, to support our clients. As a Care Management Team- Nurse Case Manager, you may be involved in chronic care management (CCM), remote patients monitoring (RPM) and transitional care management (TCM). You will coordinate discharge and follow up care for patients and work directly with patients, caregivers, physicians, and discharge teams on a daily basis. This will include managing a patient’s successful transition from hospital to home and is accountable for developing, implementing, and evaluating comprehensive transitional care interventions for high risk medical, surgical, and/or trauma patients. You are responsible for managing the post-acute care of high-risk patients that are at risk for poor health outcomes, frequent emergency room visits, and hospital readmissions and working with complex and varied patients and situations. Shift is 8 hours within window of 8:00 AM-5:00 PM ET Monday - Friday - no holidays or weekend work. This is a remote position that can be based anywhere in the United States and pay is based on a base hourly rate plus incentive compensation once certain volume goals have been reached.

Identifies patient/family education needs and ensures that patient/family members have adequate information to participate in transition planning. Works collaboratively with the team on post discharge care plan Interprets screening and selective laboratory/diagnostic tests. Initiates and maintains communication and collaboration with physicians, social workers, care team leaders, staff nurses, other care giving disciplines, and patients/families to develop, implement, and evaluate a transition plan of care for each patient. Conducts a comprehensive patient/family assessment and transition/home care planning evaluation upon program enrollment to initiate and maintain the patient's transitional plan of care. Assesses financial and insurance resources to maximize the health care benefit to the patient. Monitors the achievement of clinical outcomes and communicates with inpatient teams, primary and specialty physicians and staff, regional providers, and community resources (Home Health) regarding unanticipated variances. Assesses complexity of care needs and potential/actual issues or gaps in care. Arranges post-discharge medical and community referrals for patients with health problems requiring further evaluation and/or additional services.