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.

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 plays 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.

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