On-Site Remote Patient Monitoring RN

The Remote Patient Monitoring (RPM) Registered Nurse serves as the clinical coordinator and primary nursing resource for patients enrolled in the Remote Patient Monitoring Program. This position leverages technology, evidence-based nursing practice, patient education, and interdisciplinary collaboration to support patients with chronic and acute conditions requiring ongoing monitoring outside of traditional care settings.

The RPM RN proactively monitors patient-generated health data, identifies clinically significant trends, intervenes according to established protocols, coordinates care across the continuum, and promotes patient engagement to improve outcomes, reduces avoidable hospitalizations, and enhances quality of life. As part of a Critical Access Hospital's commitment to population health and community-based care, this role balances high-touch patient relationships with efficient technology-enabled care delivery for a panel of approximately 50 to 200 patients.

Clinical Monitoring and Assessment Review and interpret remotely transmitted patient data, including: Blood pressure, weight, blood glucose, pulse oximetry, heart rate, temperature, ketone monitoring, and other approved biometric measurements. Evaluate trends, identify early signs of deterioration, and apply clinical judgment to determine appropriate interventions. Perform nursing assessments telephonically or through approved virtual platforms.

Utilize evidence-based protocols to address abnormal findings, escalating concerns when clinically appropriate. Monitor adherence to prescribed treatment plans and identify barriers impacting patient outcomes. Collaborate with providers regarding changes in condition, medication concerns, or recommended care plan modifications.

Patient Engagement and Education Establish therapeutic relationships with patients and caregivers through regular outreach and virtual engagement. Educate patients and families regarding: Chronic disease self-management, monitoring device utilization, medication adherence, prevention strategies, lifestyle modifications, and recognition of concerning symptoms. Provide coaching and motivational support to encourage patient participation and longterm engagement.

Promote health literacy by communicating complex clinical information in understandable terms. Reinforce provider-directed plans of care and encourage compliance with recommended treatment regimens. Care Coordination Serve as a liaison among patients, primary care providers, specialists, ancillary services, and community resources.

Coordinate care transitions following emergency department visits, inpatient admissions, or specialty referrals. Facilitate timely communication regarding concerning trends or urgent patient needs. Support scheduling of follow-up appointments, preventive screenings, care management interventions, and wellness services.

Participate in interdisciplinary case reviews and population health initiatives. Clinical Escalation and Risk Management Identify patients requiring intervention based on abnormal readings, symptoms, or clinical risk indicators. Follow established escalation protocols for: Critical readings, worsening symptoms, suspected medication issues, safety concerns, potential emergency situations, and coordinate immediate provider notification as warranted.

Direct patients to appropriate levels of care when needed, including same-day appointments, urgent care, emergency department services, or emergency medical services. Document escalation of actions and outcomes. Documentation and Compliance Maintain accurate, timely, and complete documentation within the electronic health record.

Ensure documentation supports RPM program requirements, quality reporting, reimbursement criteria, and regulatory standards. Record patient interactions, assessments, interventions, care coordination activities, and education provided. Adhere to HIPAA, CMS regulations, state nursing practice acts, organizational policies, and accreditation standards.

Maintain patient confidentiality through secure remote work practices. Program Development and Quality Improvement Assist in developing, maintaining, and evaluating RPM workflows and clinical protocols. Monitor program performance indicators including: Patient engagement, enrollment growth,readmission rates, emergency department utilization, clinical outcomes, and patient satisfaction.

Participate in quality improvement initiatives aimed at enhancing patient outcomes and operational efficiency. Provide feedback regarding technology functionality, workflow improvements, and patient experience. Support implementation and optimization of RPM technologies and digital health solutions.

Additional Responsibilities Attend required meetings, trainings, and continuing education activities. Maintain competencies related to telehealth, chronic disease management, and remote monitoring technologies. Participate in emergency preparedness and disaster response activities as assigned.

Perform other duties as assigned consistent with licensure and scope of practice. Typical Patient Population The RPM RN may support patients with: Hypertension, Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Chronic Kidney Disease, Obesity, High-risk pregnancy programs (if applicable), Post-discharge monitoring and multiple chronic conditions requiring enhanced surveillance. Requirements Remote Work Requirements Dedicated HIPAA-compliant home workspace.

Reliable high-speed internet connection. Ability to maintain confidentiality of protected health information. Capability to effectively utilize organizational technology systems and communication platforms.

Availability during established business hours and rotating coverage schedules as assigned.

Associate’s degree in nursing (ASN) and/or Bachelor of Science in Nursing (BSN) Degree from an accredited school of nursing required. Must have a current unrestricted Registered Nurse (RN) license. Compact RN licensure preferred when applicable.

Must possess an active Basic Life Support (BLS) certification.

Minimum of three years of clinical nursing experience. Preferred experience in: Chronic disease management, Population health, Case management, Ambulatory care, Home health, Telehealth, Care coordination, Remote Patient Monitoring programs.