Role Description
The Heart Failure Remote Patient Monitoring Registered Nurse is a remote patient monitoring RN responsible for coordination with patients via computer to monitor daily responses from Heart Failure home monitoring input devices.
• Collaborates with providers and clinic staff to identify and prioritize patients appropriate for care coordination services, utilizing care coordination criteria.
• Advances quality goals and facilitates the sharing of necessary data and information to support ongoing quality improvement.
• Provides initial and ongoing comprehensive assessment, including a review of systems that establish a comprehensive plan of care.
• Identifies, analyzes, and prioritizes problems and interventions and sets appropriate measurable goals.
• Triages and assesses all data received from remote patient monitoring (RPM), such as vital signs, reported symptoms, and question responses.
• Reviews daily responses each workday and contacts patients about worrisome responses and trends, significant changes in condition, or changes in other specific data elements received, as clinically appropriate.
• Develops care coordination plan and goals mutually agreed upon by patient/family.
• Utilizes motivational interviewing techniques and assists patient in meeting action-oriented goals and objectives.
• Addresses Social Determinants of Health and barriers to obtaining care.
• Completes protocol-based interventions as needed.
• Completes Discharge Phone calls for patient population.
• Participates in peer review of documentation for continuous performance improvement.
• Reviews utilization and quality reports routinely, scanning for gaps in care and identifies patients needing the additional support of care management.
• Tracks program performance using KPIs and adjusts strategies accordingly.
• Ensures compliance with regulatory and privacy standards, including HIPAA.
• Participates in regular team meetings.
• Participates in departmental and organizational committees as applicable.
• Participates in the orientation of new personnel.
• Precepts and acts as a mentor to peers.
• Promotes collaborative teamwork.
• Serves as liaison between Heart Failure Clinic, provider practices, and patients to implement initiatives that improve access to care and the quality of services provided.
• Meets with Clinical Manager & Navigation team on a regular basis to provide patient updates, identify issues, and develop strategies for resolution.
• Performs all duties and responsibilities in accordance with basic principles and guidelines of professional nursing.
• Ensures documentation meets current standards and policies.
Qualifications
• Service oriented, well versed in quality measures, and familiar with approaches for reviewing charts to identify and address quality measure gap closure through care coordination.
Requirements
• Bachelor's degree in Nursing (BSN) is required.
• Master’s degree in Nursing (MSN) is preferred.
• 3 years of relevant nursing experience, including a minimum of 2 years’ case management or nurse navigation experience, is required.
• Registered Nurse licensure required.
• Must be licensed or eligible to practice pending licensure as a Registered Nurse in the Commonwealth of Virginia and/or West Virginia (as applicable depending on geographical area) with either a: Multi-state license, under the Nurse Licensure Compact.
Benefits
• A Zero-Deductible Health Plan
• Dental and vision insurance
• Generous Paid Time Off
• Tuition Assistance
• Retirement Savings Match
• A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
• Membership to Healthy U: An Incentive-Based Wellness Program
• Health savings account & flexible spending account for childcare
• Life insurance, short-term and long-term disability, and professional development
• Discounts to on-campus dining and more