Registered Nurse - Advanced Primary Care Management
New
C
CadenceChronic care management
This position is remote and based in the United States., 8:00 AM to 5:00 PM in Pacific Time or 10 AM to 7:00 Central TimeFull-TimeSenior
Salary80,000 - 90,000 USD per year
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Job Details
- Experience
- 5+ years of recent clinical experience as an RN in an ICU/ER setting is preferred.
- Required Skills
- Google WorkspaceZendeskNotion
Requirements
- Hold an active Compact multi-state RN license.
- Have an Associate Degree in Nursing Science.
- Have 5+ years of recent RN clinical experience in an ICU/ER setting; this experience is preferred.
- Bring experience supporting patients in a chronic care management program; this is a plus.
- Demonstrate nursing-process skills, clinical acumen, and patient-assessment competency.
- Have EMR experience; Athena and EPIC are preferred.
- Be technically fluent across multiple platforms and systems, including Notion, Athena, EPIC, Zendesk, and G Suite.
- Be able to work effectively with minimum supervision and collaborate with cross-functional partners.
- Be available Monday–Friday, either 8:00 AM–5:00 PM Pacific Time or 10:00 AM–7:00 PM Central Time.
- Maintain stable home Wi-Fi with strong upload and download speeds; a speed test is required before the interview process.
Responsibilities
- Monitor patient vitals, symptoms, and clinical data to identify care gaps and patients needing timely intervention.
- Develop, implement, and manage individualized care plans aligned with physician recommendations and patient-specific health goals.
- Engage with patients by phone and secure messaging to address concerns, manage escalations, and provide clinical support.
- Conduct virtual follow-up visits for program onboarding, care-plan adjustments, medication adherence, and health goals.
- Document clinical interactions and prepare care summaries for patients’ primary care providers.
- Partner with interdisciplinary care teams to support care across chronic conditions including CHF, hypertension, and type 2 diabetes.
- Contribute to the development and refinement of clinical workflows and care-management processes.
- Coordinate care in accordance with Cadence Nurse Practitioner direction and clinical policies and procedures.
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