RN, Remote Patient Monitoring - Day - Ambulatory Medical Group

Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here. ORLANDO HEALTH - BENEFITS & PERKS: Competitive Pay Evening, nights, and weekend shift differentials offered for qualifying positions. All Inclusive Benefits (start day one) Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Forbes Recognizes Orlando Health as a Best-In-State Employer Forbes has named Orlando Health as one of America's Best-In-State Employers for 2021. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued. Employee-centric Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare.

The Remote Patient Monitoring (RPM) RN delivers expert virtual nursing care across a population of patients with complex, chronic, or transitional health needs. This role integrates advanced clinical judgment, care coordination, and digital health tools to proactively manage patient conditions, reduce avoidable utilization, and improve outcomes. The position includes flexible work arrangement, supporting a virtual-first care delivery model.

Welcomes newly enrolled patients into Remote Patient Monitoring (RPM) or continuous care programs; reviews program benefits, expectations, and how remote care supports chronic disease management and prevention. Educates patients and caregivers on the use, purpose, and frequency of in-home monitoring devices; assists with troubleshooting and escalates technical issues to ensure uninterrupted data transmission. Creates a personalized, patient-centered care plan during initial onboarding and updates it regularly via phone or video based on biometric trends, self-reported symptoms, and patient goals. Conducts comprehensive nursing assessments to identify clinical needs, gaps in care, or social determinants impacting health; coordinates appropriate resources or referrals to address barriers. Provides condition-specific education and motivational coaching to promote self-management, improve adherence, and prevent disease progression—focusing on chronic conditions such as CHF, COPD, hypertension, and diabetes. Acts as the patient’s primary clinical contact for non-emergent needs, including medication refills, symptom concerns, appointment scheduling, and care navigation across the health system. Monitors in-home device readings in real time during normal business hours; follows established protocols to document trends, assesses symptoms, and escalates concerning data to the appropriate provider or team. Performs proactive outreach to review biometric data, assess symptom control, and delivers monthly care plan updates; adjust care pathways based on ongoing risk evaluation and patient response. Applies care management principles to coordinate across levels of care—helping patients transition between acute, ambulatory, and post-acute services while reducing avoidable utilization and supporting timely follow-up. Collaborates cross-functionally with virtual team members, in-office staff, primary and specialty providers, case managers, and population health teams to align care delivery and ensure continuity. Anticipates patient needs by reviewing utilization history and care gaps (e.g., overdue screenings, specialty referrals, or medication reconciliation); partners with clinical teams to close those gaps. Builds and sustains meaningful patient relationships to foster trust, engagement, and accountability in long-term health improvement. Participates in innovation pilots, Epic workflow testing, and quality improvement initiatives that advance the design and scalability of virtual care models. Documents all patient interactions, interventions, assessments, and care plan updates accurately and in a timely manner within the electronic health record. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. Maintains compliance with all Orlando Health policies and procedures. Performs all other duties as assigned. Other Related Functions Troubleshoots device or connectivity issues to ensure uninterrupted biometric data transmission; escalate unresolved technical issues appropriately. Screens and processes incoming RPM referrals for program eligibility and appropriateness based on diagnosis, risk factors, and provider orders, ensuring timely documentation, patient onboarding, and device setup Participates in performance improvement projects, chart audits, and clinical reporting for quality assurance and process optimization. Cross-trained to support TeleCare triage, including after-hours nurse advice, Schmitt-Thompson-based dispositioning, and urgent symptom management. Maintains clinical and technical competence in remote monitoring equipment, documentation systems, and virtual communication platforms. Performs all other duties as assigned.