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

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] Apply Now Apply Now