Care Coordinator
Aya Healthcare
Care Management Registered Nurse
Cadence Health is seeking a Care Management Registered Nurse to support patients enrolled in our Advanced Primary Care Management (APCM) program. In this role, you will proactively monitor patient data, evaluate clinical information, and deliver timely interventions to promote patient safety and improved health outcomes. You will work closely with interdisciplinary care teams to reinforce care plans, support medication adherence, close care gaps, and provide patient education that empowers individuals to actively manage their health and chronic conditions.
Licensure Requirements:
- Active Compact Multi-State RN license is required
Schedule Requirements:
- This role requires availability Monday - Friday.
- Schedule hours are 8:00 AM to 5:00 PM in Pacific Time
What You'll Do:
- Proactively monitor patient vitals, symptoms, and relevant clinical data to identify care gaps and patients who require timely intervention.
- Develop, implement, and manage individualized care plans aligned with physician recommendations and patient-specific health goals.
- Engage with patients via phone and secure messaging to address concerns, manage escalations, and provide empathetic, responsive clinical support.
- Conduct virtual follow-up visits to support program onboarding, adjust care plans, reinforce medication adherence, and help patients progress toward lifestyle and health goals.
- Document all clinical interactions accurately and efficiently, and prepare clear care summaries for patients' primary care providers to ensure seamless coordination.
- Partner with interdisciplinary care teams to deliver high-quality, patient-centered care across chronic conditions such as CHF, hypertension, and type 2 diabetes.
- Contribute to the development and refinement of clinical workflows and processes to support efficient, scalable, and high-impact care management programs.
- Represent Cadence's commitment to exceptional care in every patient interaction, aligning with the standards and goals of our health system partners.
What You'll Need:
- Multi-state RN Compact State Licensure.
- Associate Degree in Nursing Science.
- 5+ years of recent clinical experience as an RN in an ICU/ER setting is preferred.
- Prior experience supporting patients in a chronic care management program is a plus.
- To ensure that our clinicians have the necessary tools for a successful remote work environment, home office setups must have consistently stable wifi with strong upload and download speeds. A wifi speed test is required before participating in the interview process to verify that these standards are met.
- Skilled in nursing processes.
- Excellent clinical acumen.
- Exceptional written, verbal, and interpersonal communication skills.
- EMR experience, preferably in Athena and EPIC.
- Works effectively with minimum supervision.
- Strong collaboration with cross-functional partners.
- Ability to support the delivery of health care to patients by performing a variety of activities and procedures that are prescribed by and performed under the direction of the Cadence Nurse Practitioner and Cadence clinical policies and procedures.
- Patient assessment competency.
- Technical fluency with the ability to work in multiple platforms and systems, including Notion, Athena, EPIC, Zendesk, and G Suite.
Benefits & Perks:
- Competitive pay & equity*
- Fully remote
- Comprehensive health coverage: Medical, dental & vision
- Paid time off
- 401k plan + matching
- Paid parental leave
- Home office stipend
*benefit offerings may vary depending on job profile, job level and worker type
Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws.
A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence. If you require a reasonable accommodation during the hiring process, please contact View email address on click.appcast.io
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