Registered Nurse (RN) - Remote Care Management - Claris Healthcare

BLANKSLATE Partners

1d•Remote

About The Position

This is a rewarding role for an experienced RN who loves building relationships with patients and coaching them toward better health. You will support the delivery of three remote care-management services for our primary care and Federally Qualified Health Center (FQHC) partners: Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Advanced Primary Care Management (APCM). You will monitor patient-generated health data, maintain comprehensive care plans, coordinate care, document communication, collaborate with providers and ultimately help patients make sustainable changes to improve their health. Much of your day will be spent directly interfacing with patients. The right candidate brings genuine empathy and the skill to ask open-ended, patient-centered questions that surface what truly matters to each person, so you can build a care plan with meaningful outcomes. Using an open, non-judgmental, motivational approach, you will meet people where they are, build rapport over time, and keep the door open even when someone is not ready to change today. The remainder of your time is spent on accurate documentation. Each program has specific requirements — RPM monitoring and management time, CCM care-plan and time-tracking rules, and APCM’s bundled service elements — and your records are critical in substantiating the care delivered and each clinic’s billing. You will receive training on documentation standards, the Claris Companion platform, and partner EHRs. Strong attention to detail and comfort with healthcare software are essential.

Requirements

Active, unencumbered RN license with multistate privilege through the Nurse Licensure Compact (NLC).
Willingness and ability to obtain additional individual state licenses as the patient population requires — a nurse must be licensed in the state where the patient is located. A California and/or District of Columbia license is a strong plus.
Minimum 3 years of RN experience; direct experience providing RPM, CCM, and/or APCM is required.
Working knowledge of EHRs and patient-monitoring / care-management software, with strong computer and typing skills. Experience with eClinical Works, Athena and Epic EHRs is considered an asset.
Familiarity with Medicare care-management programs and their documentation and billing requirements — or the ability to learn them quickly.
Comfortable working independently under the general supervision of the billing practitioner.
Exceptional listening skills and empathy, with the ability to ask patient-centered, open-ended questions and see issues from the patient’s perspective.
Highly organized and detail-oriented, with strong time management across a patient panel.
Professional, warm, and personable in every patient interaction.

Nice To Haves

Care or case management certification (e.g., CCM — Certified Case Manager).
Disease-specific certification (e.g., CDCES — Certified Diabetes Care and Education Specialist).
Experience serving underserved, community-health, or FQHC patient populations and addressing SDOH.
Training or experience in motivational interviewing.
Bilingual (Spanish or other languages common to FQHC patient populations).

Responsibilities

Log into the Claris Companion platform daily to monitor RPM data and clinical alerts, triage out-of-range readings, and reach out promptly to patients who need support.
Help patients stay engaged with their monitoring so they meet program requirements and, more importantly, benefit from the care.
Deliver CCM and APCM services: develop and maintain patient-centered, comprehensive care plans; conduct regular check-ins; perform medication reconciliation; and coordinate care transitions and community or social-service referrals.
Build trusting, motivational relationships with patients using open-ended, patient-centered conversation, addressing sensitive topics and SDOH with empathy.
Document every encounter accurately and log service start and end times to meet each program’s documentation and billing requirements; enter billing and diagnosis codes for the services you provide.
Maintain audit-ready records and follow HIPAA and program-compliance standards at all times.
Work closely with the supervising practitioner and clinic team, escalating patients who need provider attention in a timely manner.
Support continuity of care and the programs’ patient-access expectations as scheduled.
Schedule follow-up contacts when all required services cannot be completed in a single session.
Ask questions when anything is unclear, and confirm rather than assume.
Be your patients’ biggest cheerleader — celebrate small wins and milestones!