Telehealth Nurse

About This Role

This role involves providing remote clinical support, patient monitoring, triage, education, and care coordination for home health patients through telehealth and remote patient monitoring (RPM) programs. The Telehealth Nurse serves as the primary clinical contact for patients enrolled in telehealth services and is critical in identifying health concerns early, intervening, preventing hospitalizations, and improving patient outcomes. The nurse conducts virtual patient interactions, reviews RPM alerts and vital signs, documents all encounters in the EMR, escalates clinical concerns, and collaborates with field clinicians, physicians, and care coordination teams.

Responsibilities

• Monitor daily patient biometric data including blood pressure, pulse oximetry, weight, blood glucose, heart rate, and temperature
• Review and respond to RPM alerts in a timely manner based on established clinical protocols
• Conduct scheduled and as-needed telehealth calls/video visits with patients and caregivers
• Identify early signs of clinical deterioration and intervene appropriately
• Provide ongoing chronic disease management support for conditions such as CHF, COPD, diabetes, hypertension, and post-hospital recovery
• Reinforce physician orders, medication compliance, diet, and care plans during telehealth interactions
• Perform remote nursing assessments and symptom triage
• Escalate urgent or worsening patient conditions to physicians, field clinicians, clinical managers, and emergency services when appropriate
• Coordinate interventions to prevent avoidable ER visits and hospital readmissions
• Document all patient interactions, assessments, and escalations in the EMR
• Educate patients and caregivers on the use of telehealth/RPM equipment, disease management, medication adherence, symptom monitoring, and when to seek medical attention
• Support patient engagement and encourage compliance with daily monitoring requirements
• Assist patients experiencing technology or connectivity challenges
• Build therapeutic relationships with patients through consistent communication and follow-up
• Collaborate with home health nurses, therapists, physicians, branch leadership, and intake and scheduling teams
• Communicate significant patient status changes promptly to the care team
• Support continuity of care between hospital discharge and home recovery
• Participate in interdisciplinary case conferences as needed
• Maintain accurate and timely EMR documentation for all telehealth encounters
• Ensure compliance with HIPAA regulations, Medicare and Medicaid guidelines, home health documentation standards, and organizational telehealth policies
• Follow established telehealth workflows and escalation protocols