CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations.About the RoleCareTalk Health is seeking experienced and highly organized Registered Nurses to join our virtual care team. This fully remote role blends care management, care navigation, and Annual Wellness Visit (AWV) chart preparation, supporting providers in delivering comprehensive, compliant, and patient-centered care.The RN Care Manager will manage medically complex patients, develop and monitor care plans across multiple programs (CCM, RPM, RTM, APCM), complete AWV chart preparation, and actively work to close care gaps, coordinate orders, and support preventive and chronic care initiatives.This role requires strong clinical judgment, excellent documentation skills, comfort with telehealth workflows, and the ability to work independently across multiple platforms.Schedule & Compensation40 hours per weekCore coverage Monday–Friday 9:00am–6:00pm EST1 Saturday per month (10:00am-4:00pm EST)Rotating holidaysCompensation: $35.00/hourWhat You’ll DoAnnual Wellness Visit (AWV) Chart PreparationPrepare comprehensive AWV charts to support provider efficiency and CMS compliance.Review and summarize with patients in face-to-face virtual visits via Zoom:Medical, surgical, and family historiesMedication lists and adherencePreventive screenings and immunizationsCognitive, functional, and depression assessmentsIdentify overdue screenings, risk factors, and care gaps prior to visits.Communicate concise patient summaries and key findings to providers before each AWV.Coordinate with patients to obtain missing or clarified information as needed.Ensure documentation meets Medicare, CMS, and organizational requirements.Care Management & Clinical Oversight Provide telephonic and portal-based care management for medically complex patients with chronic, behavioral health, and socio-economic comorbidities.Conduct comprehensive nursing assessments addressing:Physical, functional, psychological, social, environmental, and learning needsDevelop, implement, and monitor individualized care plans for: CCM, RPM, RTM, and APCMComplete care plan creation and annual updates for APCM, including goal-setting, interventions, and progress tracking.Utilize motivational interviewing to engage patients and caregivers in care planning and adherence.Monitor patient progress, reassess goals, identify barriers, and adjust care plans as needed.Communicate patient status and care plan updates to primary care providers and interdisciplinary care teams.Provide patient education, coaching, and support aligned with health literacy and cultural needs.Act as a patient advocate and assist with problem-solving and escalation when appropriate.Care Navigation & Gap ClosureActively work in care navigation to:Identify and close care gaps (preventive screenings, labs, medications, follow-ups).Coordinate and facilitate orders, referrals, and follow-up actions as needed.Monitor service delivery to ensure appropriateness, avoid duplication, and meet patient needs.Coordinate care across multiple services and providers to ensure continuity and quality.Documentation, Quality & ComplianceMaintain accurate, timely, and confidential patient records.Utilize electronic health record systems (CT360, RXNT, Zoom) and telehealth platforms effectively.Measure and support outcomes related to clinical quality, patient engagement, and satisfaction.Adhere to HIPAA, CMS, and organizational compliance standards.Participate in professional development and ongoing training.Demonstrate strong, independent decision-making, prioritization, and multitasking skills.Perform other duties as assigned.What We’re Looking ForRequiredActive, unrestricted Registered Nurse (RN) license in a compact stateAbility and willingness to obtain additional state licenses upon hire (company paid)Minimum 2–3 years of clinical nursing experienceExperience providing care in a telehealth or virtual care settingExperience working remoteExperience in one or more of the following:Chronic Care Management (CCM)Remote Patient Monitoring (RPM)Telehealth or virtual care coordinationPrimary care or care managementProficiency with EHR systems and telehealth platformsStrong clinical assessment and care coordination skillsExcellent verbal and written communication skillsHigh level of organization, attention to detail, and time managementAbility to work independently in a remote environmentCommitment to patient-centered, culturally competent careDedicated, private home workspacePreferredExperience with Medicare Annual Wellness Visits (AWVs)Knowledge of CMS documentation and preventive care guidelinesCertification in case management or gerontological nursingExperience working across multiple virtual care programs and platformsWork Location RequirementThis is a remote U.S.-based position. Employees must perform all work physically within the United States. International work is not permitted during scheduled work hours.Work Environment This is a remote position and may be “on camera” at any time. The Registered Nurse will work from a home office, requiring reliable internet connectivity and a secure, private workspace.Technical Requirements:Computer:Windows or Apple (macOS) Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones)Must have at least Windows 10 or macOS 14 Sonoma.Hardware: Processor: Intel Core i5 or AMD Equivalent (Windows); Apple Silicon (Macs)RAM: 16 GBHeadphones: Wired headphones required for optimal audio quality. (NO built-in mics)Internet Speed: Meet minimum internet speed requirements (100 MBPS download speed and 50 MBPS upload speed). Must have an ethernet cable connecting computer directly into router.Browser and System: Use Google Chrome with Amazon Workspaces (regardless of computer type). Webcam: A webcam is required for video calls. Most laptops have a built-in webcam, which is acceptable. If your computer does not have a webcam, you will need to use an external webcam.Recommended Equipment: A second monitor is highly suggested for laptop users; dual monitors for PC users. Why CareTalk HealthCareTalk Health is a fast-growing telehealth organization that delivers high-quality virtual care at scale. This role offers the opportunity to shape contractor operations, influence performance outcomes, and support innovative care models across a nationwide clinical workforce.CareTalk Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.California applicants: Please review our California Applicant Privacy Notice at Collection before applying. The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or share it, and your privacy rights under California law:
https://caretalkhealth.com/california-privacy-notice
11 days ago