LPN Clinical Interviewer

LPN Clinical Interviewer - Remote

Clarest Path (a division of Clarest Health) is a software company that supports health insurance companies by providing software solutions and outsourced services. We license software to help manage medical programs, particularly the Medication Therapy Management (MTM) Program required by CMS for Medicare Part D. We also offer outsourced MTM services, utilizing our team of pharmacists, clinicians, and support staff to conduct Comprehensive Medication Reviews (CMRs) for our clients' members. These reviews are crucial for maintaining high star ratings in Medicare Part D programs.

About the Role

The LPN Clinical Interviewer conducts telephonic medication interviews and supports Medication Therapy Management activities to improve medication adherence, safety, and member understanding. This role operates in a structured, high-volume environment with defined productivity and quality metrics. Clinical Interviewers play a critical part in improving medication safety and health outcomes for underserved and complex populations. Success in this role requires sound clinical judgment, clear member communication, strong documentation discipline, and the ability to work efficiently in a fast-paced, metrics-driven environment.

Location

Remote (Full Time)

Salary

$25.00 per hour

Schedule

Flexible scheduling is available during standard business hours, Monday through Saturday, 9:00 AM–7:00 PM EST.

What We Offer:

• Comprehensive Medical, Dental and Vision Insurance (as low as $13.33/pay)
• Paid Time Off
• Free Virtual Care – Telemedicine
• 401k with company match
• Referral Bonuses
• Life Insurance
• Make a difference in the lives of others!
• We are growing and that means more opportunities

Key Responsibilities:

Member Medication Interviews and Clinical Data Collection

• Conduct telephonic medication interviews with members, including CMR/TMR-related data collection as applicable, following program specifications and clinical workflows.
• Verify member identity and obtain consent prior to discussing medication-related information.
• Collect, review, and reconcile complete medication lists, including prescription, OTC, herbal, and supplement use.
• Assess adherence, medication effectiveness, side effects, affordability, and barriers to proper use.
• Identify potential medication-related problems (for example, duplications, contraindications, adverse effects, and possible interactions) and document findings clearly.

Education, Support, and Escalation

• Provide evidence-based medication education in clear, understandable language within scope of practice.
• Reinforce proper medication administration, dosing schedules, storage guidance, and adherence strategies.
• Escalate urgent, complex, or out-of-scope concerns to a pharmacist, provider, or designated clinical resource per established protocols.
• Collaborate with pharmacists, care coordinators, and operational teams to ensure appropriate follow-up and continuity.

Documentation, Quality, and Compliance

• Document member interactions, assessments, and outcomes in designated systems in real time or within required timeframes.
• Ensure documentation meets clinical, regulatory, and audit standards (including CMS and health plan requirements where applicable).
• Follow established scripts, decision-tree logic, and escalation pathways to support consistency and compliance.
• Meet defined productivity, quality, and documentation accuracy expectations.
• Participate in quality assurance reviews, audits, coaching, and corrective action processes as required.

Operational Effectiveness

• Use multiple systems simultaneously (for example, MTM platform, call systems, email, and documentation tools) while maintaining accuracy and service quality.
• Manage multiple interactions and documentation tasks efficiently, including tracking outreach attempts and follow-up actions.
• Maintain current knowledge of commonly used medications and program updates.
• Perform other duties as assigned.
• The ability to adhere to Clarest’s Code of Conduct, follow Clarest Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources or the Compliance Officer.

Qualifications:

• Graduation from an accredited LPN/LVN program with an active license in good standing.
• Experience in a healthcare and/or telephonic outreach environment.
• Comfort operating in a high-volume, metrics-driven setting with simultaneous documentation requirements.
• Experience navigating electronic documentation systems and Microsoft Office tools.
• Exposure to MTM, Transition of Care, or Medicare/Medicaid programs is a plus, but not required.

Skills + Abilities:

• Integrity: handles PHI appropriately, raises compliance or patient safety concerns promptly, and follows through on commitments.
• Learning Agility: stays current on medications, program requirements, and systems; applies coaching and QA feedback quickly.
• Adaptability: reprioritizes calmly during operational changes while maintaining documentation quality and member experience.
• Listening: asks clarifying questions, confirms understanding, and accurately captures member-reported medication use and barriers.
• Clarity: explains medication instructions and education in plain language and documents findings in an organized, auditable way.
• Discipline: follows clinical workflows, scripts, and documentation standards consistently with minimal rework.
• Accountability: owns outcomes for documentation accuracy, timely escalation, and follow-up actions.
• Patient Outcomes & Safety: prioritizes medication safety and appropriate escalation over speed during high-volume periods.

Equal Opportunity Employer

Clarest is an Equal Opportunity Employer. Reasonable accommodations will be made to enable individuals with disabilities to apply for a job or to perform the essential functions of their job. Please advise us if you require a reasonable accommodation.

Key skills/competency

• LPN Clinical Interviewer
• Medication Therapy Management
• Telephonic Medication Interviews
• Clinical Data Collection
• HIPAA Compliance
• Patient Education
• Electronic Health Records
• Quality Assurance
• Healthcare Software
• Medicare Part D