Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

Job TitleWe believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the needs of our patients and connect on a personal level. We exist to coach people to their best health!ResponsibilitiesWelcome patients into continuous care program(s) and review benefits and services includedEducate patients on the frequency and use of their assigned in-home monitoring devicesCreate a personalized, comprehensive care plan with the patient via phone or video visitsIdentify and address any barriers to patient successProvide specific education and coaching on patients' chronic conditionsConnect with the patient frequently to review readings and a monthly update of their plan of careServe as the patient's first contact for all non-emergent needs (example - medication refills, scheduling, appointment reminders, etc.)Anticipate patients' needs and bridge any gaps in careAssist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.).Review and evaluate in-home device readings in real time, during normal business hoursFollow established protocols for identifying, communicating and documenting device trends and any associated symptoms in the patient's medical recordEscalate concerning readings and/or symptoms to the provider following a communication protocol established by the providerEstablish a meaningful rapport that builds trust, open communication, and motivation to make a positive change in the patient's healthCollaborate with virtual team members and in-office staff to ensure patient's needs are being met