Remote Patient Monitoring Nurse / Program Coordinator

Position Summary

The Remote Patient Monitoring (RPM) Nurse / Program Coordinator is responsible for the day-to-day operation, coordination, monitoring, and ongoing development of Kane County Hospital’s Remote Patient Monitoring and Digital Care Program.

This position serves as the primary operational lead for the RPM program and works collaboratively with Kane County Hospital providers, clinic staff, Information Technology, billing and finance personnel, and technology partners to ensure the program is implemented effectively and operates safely, efficiently, and consistently.

The RPM Nurse / Program Coordinator is expected to take initiative, identify needs and barriers, develop solutions, follow issues through to resolution, and maintain ownership of program operations. The position requires a highly organized, self-directed nurse who is comfortable building new workflows, learning new technology, communicating with patients and providers, tracking performance, and independently managing competing priorities.

The Operations Director will provide program oversight. ChartSpan and other implementation partners will provide technical assistance, education, and guidance as the program is established and refined.

Essential Duties and Responsibilities

RPM Program Management

Coordinate and manage the day-to-day operations of the Remote Patient

Monitoring Program.

Serve as the primary internal point of contact for RPM program questions,

workflows, implementation needs, and operational concerns.

Take ownership of program implementation and ongoing operations with oversight

from the Operations Director.

Work with ChartSpan and other technology partners during implementation,

training, troubleshooting, and workflow development.

Develop, maintain, and improve standardized RPM workflows, procedures, and

operational processes.

Identify workflow problems or program barriers and proactively develop solutions.

Follow identified issues through resolution rather than waiting for direction on

routine operational matters.

Maintain organized records related to program enrollment, devices, monitoring,

clinical interventions, performance measures, and required reporting.

Coordinate meetings and communication among providers, clinic staff, technology

partners, IT, billing, and hospital leadership as needed.

Keep the Operations Director informed of program progress, significant concerns,

barriers, and opportunities for improvement.

Patient Identification and Enrollment

Work with providers and clinic staff to identify patients who may benefit from

Remote Patient Monitoring.

Initially support RPM enrollment for patients with conditions such as hypertension

and diabetes, with expansion to additional populations as the program develops.

Support future expansion to patients with congestive heart failure, COPD, postdischarge

monitoring needs, and other eligible conditions as approved.

Review referrals and verify that patients meet established program eligibility

requirements.

Contact eligible patients and explain the RPM program.

Obtain and document appropriate patient consent.

Enroll patients into the RPM platform according to established procedures.

Coordinate distribution and activation of monitoring devices.

Educate patients and caregivers on device use, monitoring expectations,

communication procedures, and when to seek urgent or emergency care.

Provide additional support for patients with limited health literacy, digital literacy,

transportation access, or technology experience.

Patient Monitoring and Clinical Oversight

Routinely review patient-generated health information received through the RPM

platform according to established monitoring standards.

Monitor data such as blood pressure, blood glucose, weight, oxygen saturation, and other approved measurements based on the patient's condition and care plan.

Identify readings, trends, symptoms, or changes that fall outside established

clinical parameters.

Contact patients as appropriate to obtain additional information and complete

nursing assessment within the RN scope of practice.

Provide patient education and reinforce established care plans.

Document monitoring activities, patient communication, interventions, and

escalation in accordance with KCH standards.

Promptly communicate clinically significant findings to the appropriate provider.

Follow established escalation protocols for abnormal readings or concerning

patient symptoms.

Track provider recommendations and assist with ensuring appropriate follow-up

occurs.

Recognize situations requiring urgent or emergency evaluation and direct patients

according to established clinical protocols.

Maintain clear boundaries between nursing monitoring and provider medical

decision-making. Providers remain responsible for diagnosis, treatment changes,

prescribing, and other medical decisions.

Provider Communication and Follow-Up

Serve as a communication link between RPM patients and their healthcare

providers.

Provide providers with concise, relevant information regarding abnormal readings,

patient concerns, and meaningful trends.

Track escalated concerns to ensure appropriate follow-up has occurred.

Assist with coordinating follow-up appointments, lab work, imaging, medication

review, or other services ordered by the provider.

Communicate recurring trends or concerns that may warrant adjustment of the patient's monitoring plan.

Work collaboratively with Medical Assistants, nurses, registration staff, and other

clinical personnel to prevent gaps in patient follow-up.

Device and Technology Coordination

Maintain knowledge of the RPM platform and approved monitoring equipment.

Coordinate device assignment, distribution, activation, replacement, and return.

Maintain accurate device inventory and patient assignment records.

Assist patients with basic troubleshooting and coordinate higher-level technical

support through ChartSpan or other technology partners when needed.

Monitor unsuccessful or missed data transmissions and follow up according to

established procedures.

Work with IT and technology partners to identify and resolve system or connectivity

concerns.

Participate in testing and optimization of Cerner CommunityWorks integration and

RPM documentation workflows.

Program Tracking and Reporting

The RPM Nurse / Program Coordinator will maintain accurate program data and routinely

track measures including:

Patients identified for RPM

Provider referrals

Patients contacted

Enrollment acceptance and decline rates

Active patient enrollment

Device activation

Successful data transmission

Missed transmissions

Patient retention

Monitoring activity

Abnormal readings and escalations

Clinical interventions

Completed follow-up

Device utilization

Technical support needs

Patient satisfaction

Program barriers

Emergency department visits, hospitalizations, or readmissions when applicable

Other required grant and quality measures

The RPM Nurse / Program Coordinator will assist the Operations Director and other KCH

leadership with preparation of required program reports and performance information.

Grant and Quality Responsibilities

Support implementation of the LIFT Initiative Remote Patient Monitoring and Digital

Care project.

Assist with collection of required grant performance measures and supporting

documentation.

Maintain accurate records to support program monitoring, audits, and grant

reporting.

Participate in quality-improvement activities related to the RPM program.

Compare program performance with established baseline measures and project

goals.

Identify trends, gaps, and opportunities for program improvement.

Help evaluate whether the RPM program is reaching patients with significant rural

access barriers.

Participate in program reviews with hospital leadership and implementation

partners.

Assist with preparing for grant monitoring activities or site visits as requested.

Billing and Sustainability Support

Work with billing, finance, providers, and leadership to establish documentation

workflows that support compliant RPM billing.

Ensure required clinical activities and patient interactions are appropriately

documented.

Assist with identifying operational issues that could affect billing or reimbursement.

Participate in monitoring patient participation, program utilization, and operational

efficiency.

-term goal of integrating RPM into routine chronic

disease management services.

Assist leadership in evaluating opportunities to expand the program as patient

needs, reimbursement, and organizational capacity evolve.

Staff Training and Program Education

program.

Participate in implementation and platform training provided by ChartSpan and

other technology partners.

Assist with training providers, Medical Assistants, nurses, registration personnel,

and other staff involved in RPM workflows.

Provide ongoing education as workflows change or new patient populations are

added.

Develop or maintain patient education materials and staff reference resources.

Reinforce consistent use of approved workflows, documentation standards, and

escalation procedures.

Initiative and Program Ownership

The individual in this position is expected to function with a high level of independence and

initiative.

The RPM Nurse / Program Coordinator is expected to:

Recognize what needs to be completed and take appropriate action without

requiring continuous direction.

Independently organize and prioritize daily program responsibilities.

Follow through on outstanding issues until resolution.

Seek answers and utilize available resources when unfamiliar situations arise.

Communicate directly with ChartSpan and other approved partners when

implementation or technical guidance is needed.

Identify problems before they become significant barriers.

Bring appropriate clinical, operational, financial, or safety concerns to the attention

of the Operations Director or provider.

Recommend improvements rather than simply identifying problems.

Adapt as the program evolves.

Maintain accountability for deadlines, patient follow-up, documentation, program

tracking, and assigned responsibilities.

Qualifications

Required:

Current Registered Nurse license in the State of Utah or compact-state eligibility as

applicable.

Current BLS certification.

Strong clinical assessment and communication skills.

Strong organizational skills and attention to detail.

Ability to work independently and manage multiple priorities.

Demonstrated initiative, dependability, and follow-through.

Ability to communicate professionally with patients, providers, leadership, and

outside partners.

Ability to learn and effectively use electronic health records, remote monitoring

platforms, and other healthcare technology.

Ability to recognize changes in patient condition and appropriately escalate clinical

concerns.

Preferred:

Experience in outpatient nursing, chronic disease management, care coordination,

population health, case management, or remote patient monitoring.

Experience caring for patients with hypertension, diabetes, CHF, or COPD.

Experience with Cerner CommunityWorks or similar electronic health record

systems.

Experience implementing a new clinical program or workflow.

Experience with quality improvement, data tracking, grant-supported programs, or

healthcare program coordination.

Desired Characteristics

The successful candidate should be:

Self-motivated

Proactive

Dependable

Organized

8

Comfortable working independently

Comfortable learning new technology

Able to troubleshoot and problem-solve

Willing to take ownership of a developing program

Strong at following through

Comfortable communicating concerns to providers

Patient-centered

Adaptable

Able to build structure in a new program

Comfortable asking questions while also independently seeking solutions

Reporting Structure

The RPM Nurse / Program Coordinator reports to the Operations Director, who provides

overall administrative and operational oversight of the program.

The RPM Nurse / Program Coordinator works collaboratively with KCH providers regarding

clinical patient-care decisions. The nurse may identify, assess, document, and escalate

concerns within the RN scope of practice; however, providers remain responsible for

medical diagnosis, medication changes, treatment decisions, and determination of higher

levels of care.

ChartSpan and other approved implementation partners will serve as resources for

implementation guidance, platform support, workflow development, training, and

troubleshooting as appropriate.

Performance Expectations

Performance will be evaluated in areas including:

Timeliness and accuracy of patient monitoring

Appropriate escalation of clinical concerns

Patient enrollment and retention

Completion of patient follow-up

Accuracy and completeness of documentation

Program organization and reliability

Device and patient tracking

Responsiveness to patients and providers

Compliance with established workflows

Grant data collection and reporting

Identification and resolution of program barriers

Successful collaboration with technology partners

Initiative and independent problem-solving

Contribution to program growth and sustainability

Patient and provider satisfaction