Director of Virtual Chronic Care Nursing

Promedix Health; California (MO); On-site; USD 180,000 - 240,000; Full time

Job summary

ProMedix Health seeks a Director of Nursing to guide the clinical engine delivering virtual chronic care management for Medicare patients, supervising RNs, LVNs, MAs, and Care Coordinators, and aligning with physicians and nurse practitioners to execute care plans.

The role emphasizes documentation for CMS-compliant billing, staff development, and leadership in quality improvement, with oversight of RPM/ CCM programs and care-management standards.

Qualifications

• Active California RN license in good standing.
• BSN required; MSN preferred.
• Minimum 5 years of nursing leadership experience, including direct supervision of RNs and clinical staff.
• Clinical background in skilled nursing, acute care, outpatient chronic disease management, or a comparable high-acuity environment.
• Strong working knowledge of CMS documentation standards and clinical compliance requirements.
• Demonstrated experience working directly with billing, revenue cycle, or compliance teams to ensure clinical documentation supports claims.
• Experience setting and enforcing productivity or panel-management standards tied to billed clinical time.
• Familiarity with EHR systems in care management or value-based care settings.
• Strong plus: experience with RPM, CCM, CoCM, TCM, telehealth, or virtual care delivery.

Responsibilities

• Lead RNs, LVNs, MAs, and Care Coordinators with measurable standards for productivity, engagement, documentation, and quality.
• Maintain audit-ready clinical records across programs, with deficiencies identified through internal audits and driven to closure.
• Ensure documentation consistently reflects medical necessity and supports submitted claims in partnership with billing, revenue cycle, and compliance stakeholders.
• Oversee RPM device alert response, establish response-time expectations, and confirm escalation workflows are practiced consistently.
• Maintain and improve SOPs for patient onboarding, monitoring, care plan development, clinical escalation, and disenrollment.
• Keep all clinical staff licenses, credentials, and certifications current with zero lapses.
• Deliver weekly clinical performance reporting to leadership, including key metrics, variances, and recommended actions.

Skills

Nursing leadership

Clinical documentation

Billing coordination

EHR systems

Team coaching

Education

California RN license

BSN

MSN preferred

Tools

EHR systems

RPM/ CCM/ CoCM platforms

Job description

ProMedix Health seeks a Director of Nursing to guide the clinical engine delivering virtual chronic care management for Medicare patients, supervising RNs, LVNs, MAs, and Care Coordinators, and aligning with physicians and nurse practitioners to execute care plans.

The role emphasizes documentation for CMS-compliant billing, staff development, and leadership in quality improvement, with oversight of RPM/ CCM programs and care-management standards.