RN Clinical Care Coordinator - Remote Patient Monitoring

HEART OF OHIO FAMILY HEALTH CENTERS•Columbus, OH
•$57,648 - $81,051•Onsite

About The Position

The RN Care Coordinator - Remote Patient Monitoring (RPM) is a registered nurse who monitors, manages, and coordinates care for patients enrolled in remote patient monitoring programs, with a primary focus on chronic disease management such as hypertension and diabetes. The role reviews patient-generated health data, collaborates with multidisciplinary teams, conducts patient outreach and education, and provides clinical interventions to support better health outcomes and adherence to treatment plans. The coordinator may also support care coordination for high-risk patients and patients with chronic diseases, quality improvement and population health initiatives, patient outreach campaigns, and projects to improve clinical quality measures and engagement. As operational needs require, the RN may cover traditional RN Care Coordinator responsibilities, including direct patient care, care plan development, vaccine and injectable medication administration, and diagnostic procedures such as spirometry and diabetic retinal imaging. This is a full-time, onsite position at the James B Feibel Center in Columbus, Ohio. The schedule is Monday through Friday during standard business hours, subject to change due to business necessity. The role is exempt, has no supervisory duties, and reports to the Clinical Pharmacy and Allied Health Manager. Business-casual dress is required in accordance with the Heart of Ohio Family Health dress code.

Requirements

  • Bachelor's degree in nursing.
  • 0–3 years of clinical care experience.
  • Current RN license.
  • Valid driver's license and reliable transportation.
  • Maintain CPR certification.

Nice To Haves

  • Ambulatory or primary care nursing experience is preferred; hospital-based nursing experience is acceptable.
  • Case management experience is ideal.
  • Experience working with patients with chronic diseases or complex health issues is ideal.

Responsibilities

  • Monitor and manage patients enrolled in RPM programs, primarily for blood pressure and blood glucose management.
  • Review, assess, and document patient-generated health data; communicate abnormal readings to patients and providers and facilitate appropriate follow-up.
  • Enroll eligible patients in RPM programs and educate them 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 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 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.
  • Cover 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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