This role is 100% remote with no face-to-face contact with patients. We have a “remote first” environment and are proud to have team members located nationally. As a Continuous Care Coach, you will be responsible for assessing, coordinating, and managing the care needs of patients with chronic eye diseases. Your primary goal will be to ensure that patients receive high-quality care and support throughout their journey. Manage the patient caseload and communicate as frequently as necessary, based on assessing the patient need Communication and engagement with patient, family members, guardian or caretaker, surrogate decision makers, and/or other professionals regarding aspects of care Communication with home health agencies and other community services utilized by the patient Collection of health outcomes data and registry documentation Patient and/or family/caregiver education to support self-management, independent living, and activities of daily living Assessment and support for treatment regimen adherence and medication management Identification of available community and health resources Facilitating access to care and services needed by the patient and/or family Ongoing review of patient status, including review of laboratory and other studies not reported as part of an E/M service Development, communication, and maintenance of a comprehensive or disease-specific care plan Use motivational interviewing to assess and address any barriers their patients may be experiencing and work in a holistic manner to help resolve these barriers Must be able to work flexibility within it but we do require you work during normal business hours in your patients’ time zone Must have the ability to interact with up to 15 patients per day to provide encouragement, empathy, and support Communicate regularly with other Team Leads, Managers, Directors, and appropriate stakeholders as needed to promote healthy exchanges of crucial information