Conducting outbound telephonic patient outreach to support patients enrolled in Cadence care programs
Provide one-on-one coaching and support to patients managing chronic conditions, including but not limited to type 2 diabetes, hypertension, and cardiovascular disease
Help patients execute personalized care plans and achieve their goals by providing education and coaching focused on behavior modification, nutrition, physical activity, and self-management strategies using evidence-based techniques such as motivational interviewing and SMART goals
Conduct comprehensive assessments of patients' health status, lifestyle behaviors, nutritional habits, and readiness to change
Support patient care delivery by performing assigned tasks in accordance with Cadence clinical policies and established protocols, under appropriate clinical supervision
Educate patients on disease management, medication adherence, symptom recognition, and prevention strategies
Monitor patients' progress, adherence to treatment plans, and health outcomes through regular check-ins and remote monitoring tools
Documenting patient interactions, outcomes, and follow-up plans in the Cadence platform
Identifying barriers to care (including social needs) and connecting patients with resources or internal support pathways
Collaborating in real time with clinicians and patient support teams using tools such as our Cadence Platform, Google Workspace, and Slack
Contributing feedback to improve workflows in a fast-moving, change-oriented environment
What you need:
Education, licenses, and experiences required for this role:
An active compact multi-state LPN/LVN license in the state where you currently reside is required
At least 5 years of clinical experience as a Licensed Practical Nurse is required
Remote work readiness (including stable high-speed WiFi) is required
An active CA state LVN license is required
Fluency in Spanish is strongly preferred
Experience providing patient education and support to individuals managing chronic conditions is preferred
Cadence Clinical Navigators also demonstrate:
Strong patient education, coaching, and care coordination skills
Skilled in supporting patients in managing their health and chronic conditions by meeting them where they are in life - considering their age, lifestyl
Benefits
Health insuranceVision insurancePaid time offRemote work options
Additional Information
Sixty million Medicare seniors live with chronic disease. The care system sees most of them twice a year. Cadence is building the infrastructure to support them every day.
Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions like hypertension, heart failure, and diabetes. We pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use our Clinical Intelligence platform to monitor vitals, surface risk early, optimize medications, and close care gaps between visits. The result: patients engage with care 100x more than before Cadence, clinicians focus on judgment instead of administrative work, and Medicare saves $2M a week.
We operate as a full clinical care delivery organization, not a software vendor. Our clinicians work alongside health system partners, extending the reach of local primary care providers into patients' homes. We're now applying AI agents across these workflows - from alert review and medication titration to lifestyle coaching and care coordination - with clinicians always in control of clinical decisions.
The Cadence Health team is seeking a remote Licensed Practical Nurse (internally known as a Clinical Navigator) to provide virtual patient support across Cadence care programs. In this role, you will support Medicare patients living with chronic conditions by reinforcing care plans, encouraging adherence to medications and preventive care, and providing education that helps patients better manage their health.
Clinical Navigators deliver proactive, patient-centered outreach and follow-through. Depending on program needs, your work may include structured patient check-ins, coaching and goal-setting, care coordination to close gaps in care, and addressing barriers such as access to resources, transportation, or medication refills. You will document patient interactions in the Cadence platform and collaborate closely with the clinical team to escalate concerns, coordinate next steps to ensure patients feel supported, informed, and engaged throughout their care journey.
Schedule:
This is a full-time, remote position based in the United States. Standard working hours are Monday through Friday, from 8:00 AM to 5:00 PM or 9:00 AM to 6:00 PM in the Pacific time zone.
Cadencehealth · Worldwide