RN Case Manager

Job Title: Case Manager – Remote Patient Monitoring

Job Overview:

We are seeking a dedicated and compassionate Case Manager to join our Remote Patient Monitoring (RPM) team. The Case Manager will play a critical role in coordinating care for patients enrolled in our remote monitoring programs, helping them navigate their healthcare needs, ensuring adherence to treatment plans, and improving overall health outcomes. This position will be conducted remotely, with a focus on patient engagement, care coordination, and collaboration with a multidisciplinary healthcare team.

Key Responsibilities:

• Patient Enrollment and Onboarding:

Guide new patients through the enrollment process for remote patient monitoring, explaining program benefits, expectations, and technology use.
Assist patients with setting up remote monitoring devices and ensure they are comfortable using the technology to track their health metrics (e.g., blood pressure, glucose levels, weight, etc.).

• Care Coordination:

Act as the primary point of contact for patients, ensuring seamless communication between patients and healthcare providers.
Coordinate with physicians, pharmacists, behavioral health consultants, and other healthcare team members to develop and implement personalized care plans.
Follow up with patients regularly to assess their progress, address concerns, and encourage adherence to treatment plans.

• Patient Monitoring and Support:

Monitor patient data through remote patient monitoring tools, identifying trends or potential issues with health metrics.
Provide guidance and support to patients based on data, adjusting care plans and treatment goals as necessary.
Educate patients on the importance of monitoring their health metrics and adhering to prescribed care regimens.

• Health Education and Advocacy:

Educate patients on managing chronic conditions, medication adherence, lifestyle modifications, and healthy habits.
Act as an advocate for patients, ensuring they understand their care plans and are empowered to make informed decisions about their health.
Address patient questions or concerns about their treatment, health status, and the use of remote monitoring technology.

• Care Plan Updates and Follow-Up:

Collaborate with the healthcare team to update care plans based on patient progress and changes in health status.
Ensure timely follow-up with patients after visits, hospitalizations, or changes in their condition, and track patient outcomes to ensure goals are met.

• Patient Outreach and Engagement:

Conduct regular check-ins via phone, video calls, or secure messaging to ensure ongoing engagement with the program.
Use motivational interviewing and other patient-centered approaches to encourage patient adherence to health management plans.

• Crisis Management and Intervention:

Recognize signs of clinical deterioration, mental health crises, or other urgent needs and coordinate timely interventions.
Support patients during health setbacks, assisting in managing stress or anxiety related to their health conditions and ensuring appropriate referrals are made.

• Documentation and Reporting:

Maintain detailed and accurate records of patient interactions, progress notes, and care plan updates in the electronic health record (EHR).
Document patient health metrics and communicate any concerns or changes to the interdisciplinary care team.
Provide periodic reports on patient outcomes, program effectiveness, and engagement metrics.

• Quality Improvement and Patient Satisfaction:

Contribute to ongoing quality improvement efforts by providing feedback on care processes, patient engagement strategies, and RPM program outcomes.
Ensure high levels of patient satisfaction by providing compassionate, high-quality care and support.

Qualifications:

• Bachelor’s degree in Nursing, Social Work, Health Administration, or a related field.
• Valid licensure as a Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), or other relevant credentials (e.g., CCM – Certified Case Manager).
• Minimum of 2 years of experience in case management, care coordination, or a healthcare setting, preferably in remote care or telehealth.
• Experience working with patients managing chronic conditions such as diabetes, hypertension, heart disease, or other long-term health issues.
• Strong understanding of healthcare systems, insurance, and healthcare regulations.
• Excellent communication skills, both written and verbal, with the ability to build rapport with patients remotely.
• Proficient in using electronic health records (EHR) and remote monitoring technologies.
• Knowledge of HIPAA regulations and patient confidentiality practices.

Preferred Skills:

• Certification in Case Management (CCM) or other relevant certifications (e.g., Certified Diabetes Educator, Certified Health Coach).
• Experience working with patients in a telehealth or remote care setting.
• Familiarity with chronic disease management protocols and health coaching techniques.
• Bilingual

Work Environment:

• Full-time in-office

Why Join Us?

• Make a meaningful difference in patients’ lives by helping them manage their health remotely and effectively.
• Be part of a dynamic, patient-centered healthcare team dedicated to improving patient outcomes.
• Work in a supportive and innovative environment that promotes professional growth and development.
• Competitive salary with bonus structure, benefits, and opportunities for advancement in a rapidly evolving field.

If you are passionate about patient advocacy, care coordination, and improving health outcomes through remote patient monitoring, we encourage you to apply!

Job Type: Full-time

Pay: $83,552.00 - $87,717.00 per year

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Commute:

• Houston, TX 77027 (Required)

Work Location: In person

Salary : $83,552 - $87,717