Registered Nurse (RN) / Licensed Practical Nurse (LPN) – Remote Care Management (CCM, RPM, BHI, CoCM)

Remote Full-time
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 is a MANDATORY Requirement
• 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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