Licensed Practical Nurse Remote Monitor - Remote/Central, MA

Brook Health is a digital health company. Brook offers a set of products and services extending health-care-management beyond the walls of doctors’ offices and into people’s homes and their day-to-day lives. Brook provides people who are living with chronic conditions a highly personalized high-touch support via a smartphone app offering AI tools, data collection through connected devices, and real-time access to health coaches to make smart, daily decisions and to build healthy habits to achieve their long-term health goals. Brook also offers a CDC-approved preventative program for people who are at high risk for diabetes. For primary care providers, Brook offers SaaS tools for continuous remote monitoring, providing insights into their patient’s health needs, enabling a new model of care, and early preventative interventions with our own care delivery team resulting in better health outcomes. Brook offers a dynamic work experience with team members in multiple time zones. We have a fast-paced, user-centric, high-expectation, constantly-improving-ourselves type of culture. Our goal is to change the approach to pre-condition and chronic condition care management, to use technology to support health-care providers in improving patients’ health outcomes.

This position is Full-Time, reporting to Registered Nurse Team Lead We are looking for a Clinical Licensed Practical Nurse. This position will report to the RN Team Lead. This role functions as a remote patient monitoring nurse with an individual patient case load. Accountable for the application of care pathways for remote clinical nursing practice and patient care coordination for chronic disease diagnoses. There is responsibility to manage the resources with mindfulness regarding adherence of regulatory and professional standards, including Health Insurance Portability and Accountability Act (HIPAA) as well as any additional security requirements identified. It is imperative to foster collaborative relationships within all areas of the interdisciplinary workings of the contracted clinic/health care provider and Brook as a partnership.

Conduct comprehensive review of subjective and objective information to determine patients’ eligibility and readiness for remote monitoring. Educate patients and their families or care takers (if applicable) on the program, monitoring devices, and protocols. Educate and instruct patients on how to use their monitoring devices, including frequency of use and initial set up of the device. Assist patients with account creation in the Brook Health app. Ensure all necessary documentation is completed accurately and promptly. Identify onboarding process improvement opportunities to continue driving efficiency and scalability. Work in a patient centered, tech-forward model of healthcare. Collection and review of selected data about the health status of the patient, while providing encouragement to patients, close gaps in care and enter documentation in EMR. Responsible for timeliness of review and quality communication and/or escalation of data. Communicate in an attentive and individualized manner with each encounter, verify patient’s understanding of encounter. Works closely with the Brook Health Care Team, including Lead RN, Health Coaches, Clinic Success Manager, and individual office staff to assure the efficient operation of quality and clinical activities. Ensure accurate and thorough clinical documentation of care coordination and CPT code requirements for all patients. Developing a deep understanding of the patients and members we serve advocating and reinforcing health care goals. Other job-related duties as required. Obtaining information regarding Quality metrics for individual providers for their patients, such as diabetic eye exams, medications changes, specialist follow ups etc.