Registered Nurse - CCM

In the U.S., 60% of adults – more than 133 million people – live with at least one chronic condition. These patients need frequent, proactive support to stay healthy, yet our care system isn’t built for that level of attention. With rising clinician shortages, strained infrastructure, and reactive care models, patients too often end up in the ER or the hospital when those outcomes could have been prevented. At Cadence, we’re building a better system. Our mission is to deliver proactive care to one million seniors by 2030. Our technology and clinical care team extend the reach of primary care providers and support patients every day at home. In partnership with leading health systems, Cadence consistently monitors tens of thousands of patients to improve outcomes, reduce costs, and help patients live longer, healthier lives.

The Cadence Health team is seeking a Bilingual Registered Nurse to support patients enrolled in our care management programs and help them better manage their health conditions. In this role, you will monitor patient data, assess clinical information, and provide timely interventions to support patient safety and care outcomes. You will collaborate closely with interdisciplinary care teams to reinforce treatment plans, support medication adherence, and provide education that empowers patients to actively manage their conditions.

Continuously monitor patient vitals, symptoms, and lab results to proactively identify care gaps and patients requiring clinical intervention. Create and manage personalized care plans to address patients' specific health needs, ensuring alignment with treatment goals and physician recommendations. Address patient concerns and escalations via phone and text, providing timely and empathetic responses. Conduct virtual follow-up appointments to guide patients through program enrollment, update treatment plans, support medication adherence, and achieve lifestyle and health goals. Document clinical interactions thoroughly and prepare detailed care summaries to share with patients’ physicians, ensuring seamless care coordination. Assist in developing workflows and processes to enhance our care management programs, ensuring efficiency, scalability, and patient-centered care. Ensure every patient interaction reflects Cadence’s commitment to delivering exceptional care and aligns with the goals of partnering health systems. Collaborate with the team to scale care delivery for patients with chronic conditions, including CHF, hypertension, and type 2 diabetes, as Cadence grows.