Registered Nurse - Alerts - Nights

Cadence Health

8d•$80,000 - $90,000•Remote

About The Position

Cadence is hiring a Registered Nurse to provide after-hours patient monitoring, triage, and clinical escalation for its chronic care population. This independent clinical role supports patients when primary care offices are closed, including those with hypertension, heart failure, and diabetes. The nurse works directly with patients and the Cadence care team to maintain continuity of care and clinical safety across after-hours interactions. The available schedule is Thursday, Friday, Saturday, and every other Wednesday, from 7:00 PM to 7:00 AM. The position is fully remote and based in the United States.

Requirements

Active RN compact (multi-state) licensure.
At least 4 years of clinical experience treating patients with CHF, hypertension, and diabetes in an inpatient or outpatient setting.
Experience in a CHF bridge clinic or equivalent high-acuity chronic disease management environment.
Experience with remote patient monitoring technology and ability to interpret continuous vital sign data in a clinical context.
Ability to conduct independent clinical triage and make sound escalation decisions without in-person oversight.
Fluency with AI-assisted clinical tools, such as Gemini, Open Evidence, or comparable platforms, and ability to speak credibly with providers and patients about the role of AI in care and the continuing importance of human judgment.

Responsibilities

Triage inbound patient calls and alerts using standardized clinical protocols, including Schmitt-Thompson telephonic triage guidelines, and escalate from after-hours clinic referrals to emergency dispatch when required.
Monitor patient vitals, symptoms, and labs in real time, identify patients requiring intervention, and execute appropriate escalation pathways within established care guardrails.
Follow up with patients who have abnormal readings, gather clinical history, assess acuity, and triage them to the appropriate level of care.
Document patient case notes in the Cadence platform and log follow-up tasks in ZenDesk.
Respond to inbound patient questions and clinical escalations by phone and text message.
Conduct outreach to patients with lapses in vital sign adherence and support rescheduling for patients who have missed follow-up touchpoints.
Uphold clinical care standards and support health system partner experience goals and patient well-being.