Clinical Care Specialist - Remote (US)

Job Description

Job Description

Position Type: Full-time, salaried, exempt

Job Location: Remote (US)

• Work-Life Balance : Competitive compensation with balanced hours.
• Patient-Centered Care : Directly impact patient outcomes through chronic care management.
• Remote Flexibility : Work from the comfort of your home.
• Flexible Scheduling : Your schedule, tailored to fit your life. No set daily shift times.
• No Overnight Duties : Sleep peacefully with no overnight call/requirements.
• Meaningful Connections : Establish lasting relationships with patients and staff.
• Culture of Appreciation : Your work is valued and rewarded.
• Licensure Reimbursed : We cover your medical licensure costs.
• Benefits : 401k match, Medical/Dental/Vision, Disability, Employer-paid Life Insurance.
• Referral Bonus : Earn more by expanding our team.
• Career Advancement : Leadership opportunities promoted.
• Continuous Learning : Opportunities for ongoing education and professional development, including coding and risk adjustment.

Essential Functions and Responsibilities

• Maintain, monitor, and manage your own patient census across multiple facilities to:
• Coordinate the implementation of Chronic Care Management (CCM) services amongst chronically ill patients residing in long term care facilities
• Create individualized Care Plans for patients with chronic conditions.
• Responsible for updating and tracking monthly
• Responsible for monitoring labs, vitals, medications, and testing for patient census.
• Conduct care coordination with patients, their care team, and their families (this is done through email, text, and phone communication)
• Provide patient education on management of chronic conditions, medications, and testing
• Constant communication and coordination with members of the care team such as physicians, physician assistants, nurse practitioners, pharmacists, and other health care professionals
• Assess, identify, and close clinical and non-clinical gaps in patient care
• Provider and CCS team training and support

Company Overview

Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and RPM, covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare.

Shift Structure

• Monday-Friday, 8 hour shift (Typically 9am-5pm but can vary)

Requirements and Qualifications

• RN in Applicable State
• Must have active compact license
• Fast home internet and strong computer skills required
• Five years of experience practicing nursing required
• Excellent communication and time management skills required
• Strong critical thinking and problem solving required
• Self-motivated and independent worker
• Experience serving chronically ill patients preferred
• Telephonic case management or care coordination experience preferred
• Compassionate and friendly demeanor

Physical Requirements

• Must be punctual or on time and adhere to the company's Time and Attendance policy.
• Must be able to remain sitting for the majority of their shift.

Compensation and Benefits

• PTO
• 401k with employer match
• Health insurance
• Employer Paid - Life Insurance Policy

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position.

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