Job Description
Job Title:
Registered Nurse (RN) / Licensed Practical Nurse (LPN) – Remote Care Management (CCM, RPM, BHI, CoCM)
Location:
Remote (Must hold an active Massachusetts RN or LPN license)
Job Type:
Contract (Part-Time / Full-Time)
Compensation:
$25 – $40 per hour (RN)
$20 – $30 per hour (LPN)
(Based on experience, certifications, and program expertise)
About the Role:
We are hiring experienced Massachusetts-licensed RNs and LPNs to support patients in Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI), and Collaborative Care Model (CoCM) programs.
This is a fully remote role focused on delivering high-quality, compliant care management services to Medicare and chronic care patients.
You will play a critical role in improving outcomes, reducing hospitalizations, and ensuring adherence to CMS care management guidelines.
Key Responsibilities:
- Chronic Care Management (CCM):
- Deliver monthly care coordination (20+ minutes per patient)
- Develop, update, and manage individualized care plans
- Perform medication reconciliation and adherence monitoring
- Coordinate with PCPs, specialists, and caregivers
- Maintain accurate, CMS-compliant documentation
- Remote Patient Monitoring (RPM):
- Monitor daily patient vitals (BP, glucose, weight, SpO2, etc.)
- Identify abnormal trends and triage/escalate clinically when needed
- Educate patients on device use and adherence
- Ensure RPM compliance (16+ days data/month)
- Support billing compliance (CPT 99453, 99454, 99457, 99458)
- Behavioral Health Integration (BHI) / CoCM:
- Conduct behavioral health screenings (PHQ-9, GAD-7, etc.)
- Support care plans for patients with depression, anxiety, and other behavioral conditions
- Collaborate with psychiatric consultants and primary care providers
- Track patient progress and adjust care interventions
- Document time-based services aligned with CMS billing requirements
Qualifications:
- Required:
- Active RN or LPN license in Massachusetts
- Hands-on experience with CCM and/or RPM programs
- Strong understanding of CMS documentation and billing requirements
- Experience with behavioral health workflows (BHI or CoCM preferred)
- Proficiency with EMR/EHR systems
- Strong patient communication and engagement skills
- Preferred:
- Certification: CCM (Certified Case Manager) or Behavioral Health certifications
- Experience with Medicare / Medicare Advantage populations
- Familiarity with platforms like Athenahealth, eClinicalWorks, Epic
- Bilingual (Spanish) is a plus
- Core Competencies:
- Clinical assessment & triage
- Chronic disease management (Diabetes, HTN, CHF, COPD)
- Behavioral health coordination
- Patient engagement & motivational interviewing
- Time tracking and compliance documentation
- Telehealth and remote monitoring tools
- Work Expectations:
- Fully remote, HIPAA-compliant work environment
- Ability to manage high patient volumes efficiently
- Ensure monthly compliance for CCM, RPM, and BHI/CoCM programs
- Participate in care team collaboration and escalation workflows
- Why Join Us:
- Work with a fast-growing care management & digital health organization
- Flexible remote work structure
- Exposure to AI-driven care coordination platforms
- Opportunity to impact high-risk patient populations
How to Apply:
Apply via LinkedIn or send your resume to: [email protected]
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