RN Clinical Care Coordinator - Remote Patient Monitoring
About The Position
The RN Care Coordinator - Remote Patient Monitoring (RPM) functions as a registered nurse responsible for monitoring, managing, and coordinating care for patients enrolled in remote patient monitoring programs, with a primary focus on chronic disease management, including hypertension, diabetes, and other identified population health initiatives. Through regular review of patient-generated health data, multidisciplinary collaboration, patient outreach, education, and clinical intervention, the RN Care Coordinator supports patients in achieving improved health outcomes and adherence to treatment plans. In addition to RPM responsibilities, the RN Care Coordinator may assist with care coordination activities for high-risk patients or those with chronic diseases, support quality improvement and population health initiatives, participate in patient outreach campaigns, and contribute to projects focused on improving clinical quality measures and patient engagement. The role may also provide coverage for traditional RN Care Coordinator duties as operational needs require, including direct patient care, care plan development, vaccine and injectable medication administration, and assistance with diagnostic procedures (e.g., spirometry, diabetic retinal imaging, etc.).
Requirements
- Bachelor's degree in nursing.
- 0-3 years clinical care experience.
- Ambulatory or primary care nursing preferred. Hospital-based nursing acceptable.
- Ideal candidate has case management experience and experience working with patients with chronic diseases or complex health issues.
- Candidates must have valid driver’s license, reliable transportation, and maintain CPR certification.
- Current RN License
Responsibilities
- Monitor and manage patients enrolled in Remote Patient Monitoring (RPM) programs, primarily for blood pressure and blood glucose management.
- Review, assess, and document patient-generated health data; communicate with patients and providers regarding abnormal readings and facilitate appropriate follow-up.
- Enroll eligible patients in RPM programs and provide education on equipment use, self-monitoring, chronic disease management, medication adherence, and lifestyle modifications.
- Conduct patient outreach related to chronic disease management, preventive care, quality measures, population health initiatives, and medication adherence.
- Support medication access and adherence through interventions such as prior authorizations, medication assistance programs, refill outreach, and related quality improvement projects.
- Collaborate with patients, families, providers, and interdisciplinary team members to establish health goals, coordinate care, and connect patients with needed services, referrals, screenings, labs, and community resources.
- Serve as a primary contact, advocate, and educational resource for patients and caregivers participating in RPM and care coordination programs.
- Support transitions of care following hospitalizations, emergency department visits, and other acute care events as assigned.
- Participate in quality improvement, population health, workflow development, and value-based care initiatives, including data collection, patient outreach, and performance improvement activities.
- Provide coverage for RN Care Coordinator duties as operational needs require, including nursing assessments, care plan development, direct patient care, vaccine and medication administration, diagnostic procedures, and other RN-level clinical responsibilities.
- Maintain accurate and timely documentation and assist with clinical incident review and follow-up as appropriate.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
