- Manage physiological markers like blood pressure, weight, and blood glucose with clinical appropriateness
- Meet team goals and standards outlined metrics
- Significantly impact longitudinal patient engagement in RPM program(s)
- Provide preventive health and disease management education and coaching
- Perform monthly wellness calls with assigned patients
- Lead collaborative wellness calls with the patients to define health goals outlined by their Care Team
- Manage patient messaging and alerts
- Direct patients to treating physician for routine questions
- Meet patient engagement program goals
- Follow appropriate escalation pathways for any urgent care needs