Department

Worker Sub Type

Work Shift

Pay Grade

Job 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.

Responsibilities and Duties

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 assess all data received from remote patient monitoring (RPM), such as vital signs, reported symptoms, and question responses. Reviews daily responses each workday and contact 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 assist 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 adjust 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.

Education

Bachelor's degree in Nursing (BSN) is required.

Master’s degree in Nursing (MSN) is preferred.

Experience

3 years of relevant nursing experience, including a minimum of 2 years’ case management or nurse navigation experience, is required.

Certification & Licensure

Registered Nurse licensure required. Based on primary state of residency and in accordance with current West Virginia and/or Virginia Board of Nursing Regulations, 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.

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.

Benefits

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:

• 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

Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

To see the full scale of what we offer, visit valleyhealthbenefits.com.