RN - Remote Monitoring Referral Specialist/Home Health Case Manager

Presbyterian Healthcare Services; Albuquerque (NM); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare provider in New Mexico is seeking a dedicated Registered Nurse (RN) to manage patient care, staff training, and clinical evaluations in a supportive, team-based environment. This full-time role includes responsibilities for both remote patient monitoring and in-person visits, offering opportunities for professional growth and development.

Benefits

Sign on and relocation bonuses available

Tuition and certification reimbursement

Shift differentials for nights and weekends

Malpractice liability insurance

Loan forgiveness through New Mexico Higher Education Department

Qualifications

• State of New Mexico or Compact State Nursing License required.
• BLS certification required at hire.
• Minimum one year acute care experience required.

Responsibilities

• Manage clinical escalations and ensure billing accuracy.
• Provide direct patient care and develop care plans.
• Coordinate with multidisciplinary teams for patient management.

Skills

Patient Care

Clinical Assessment

Crisis Intervention

Education

Associate Degree in Nursing

Tools

EPIC electronic charting system

Job description

Overview

Prebyterian Complete Care is seeking a dedicated and skilled Registered Nurse (RN) with Hospice, Home Health or Complete Care experience. This role plays a vital part in ensuring the success of remote patient monitoring by managing clinical escalations, evaluating preventative interventions, and maintaining billing accuracy through staff training on best practices. It involves assisting with system setup from a clinical perspective and troubleshooting technical issues to ensure seamless operations. The position requires close collaboration with the Vital Tech vendor, overseeing supply management, and conducting clinical screenings for Complete Care and SMART referrals. Additionally, it includes presenting complex patient cases for team input, proactively recruiting Complete Care patients, and promoting the program across external PHS initiatives. With responsibilities extending to staff training on remote monitoring processes and serving as a backup for triage and PAC-P Remote Monitoring, this role is instrumental in optimizing patient care, fostering program growth, and ensuring operational efficiency. Occasionally, acute in-person home visits may be required, along with handling special projects as assigned.

Type of Opportunity: Full Time FTE: 1.0 (40 Hours per week) Work Schedule: 8 Hour Days (Monday-Friday)

Sign onandrelocation bonusesavailable for qualified candidates.

How you grow, learn and thrive matters here.

• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Shift differentials for nights and weekends
• Differentials for higher education, certifications and various lead roles
• Malpractice liability insurance
• Loan forgiveness through theNew Mexico Higher Education Department
• EPIC electronic charting system

Interested in learning more?

Text 505.388.0350 or schedule directly with me by clicking here!

Responsibilities

Demonstrates nursing care management of patients as evidence by Assessments that are complete, timely, and appropriate of physical, mental, psychological/social (behavioral), functional, financial, treatment, resource and spiritual needs of patients.b. Analysis that defines problems that are capable of correction through home healthcare and hospice interventions and are prioritized in development of care plan.c. Intervenes consistently with orders and changes interventions with orders to meet changes in patient needd. Evaluates each visit the effectiveness of interventions and the patients response to intervention.Provide direct patient care by assessing patient for care needs, resources to meet needs and developing a home care or hospice plan of care in conjunction with physician.

Coordinates implementation of the plan of care through a multidisciplinary home care or hospice team, community resources and the physician

Ensures plan of care is followed and that documentation complies with regulation.

Maintains a department productivity standard for visits and caseload management.

Demonstrates professional accountability for self-scheduling patient case load with appropriate frequency and duration, and concurrently updates schedule throughout the day as needed so that ongoing patient needs can be met.

Assure patients on case load are notified timely of their visits and of any unplanned schedule changes accommodating, when possible, patent preferences for time of day.

Precepts newly hired nurses, and students and serves as a resource person and professional role model as needed.

Maintain communication with the multidisciplinary team s and assures that orders for necessary care plan changes are obtained and assures that changes are communicated timely to the team.

Initiates documentation in the home and completely records all care delivery so that receiving staff have record of care delivered by the end of each day which includes admissions.

Demonstrates proficiency and competency in interventions (treatments) required through day to day practice and annual competency testing.

Delegate or assign aspects of patient care to health care team members commensurate with their validated competency to perform the task.

Be professionally responsible for current nursing research, current nursing standards, home care or hospice philosophy in order to maintain quality.Be responsible for clinical supervision of licensed and non-licensed assistive personnel.

Participates in agency continuous quality improvement activities as required.

Assume other leadership roles as required by the department.

Responsible for weekend and holiday coverage and evening call for agency and patient home visits as required on a rotating basis.

Assure clinical outcomes are met and sustained .

Performs other functions as required.

Qualifications

• Associate Degree in Nursing
• State of New Mexico or Compact State Nursing License
• BLS certification REQUIRED at time of hire
• ACLS
• PALS
• Minimum one year acute care experience within the last 3 years requiredhospice,home health careorcomplete careexperience preferred
• Current Drivers License and Auto Insurance

Benefits

We're all about well-being, starting with yours.Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

Learn more about our employee benefits.

About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.

Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

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Maximum Offer for this position is up to

USD $51.00/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.