Join our team committed to the highest quality healthcare! JOB RESPONSIBILITIES:

• Monitor patient vital signs and health data using remote devices.
• Analyze data trends to identify potential health risks.
• Provide patient coaching, education and support about health data.
• Collaborate with Providers to tailor care plans.
• Document patient interactions accurately in electronic health records.
• Facilitate the ongoing adherence of team-based, asynchronous, digital care model (TAG) protocols and therapies to assure that all individuals with intermediate to high ASCVD risk receive comprehensive and timely treatment and interventions that are consistent with best practice recommendations.
• Coordinate with SSCHC departments and community resources to ensure wrap-around support to enrollees.
• Inform program leads of challenges and opportunities to develop a successful TAG model.
• Work with SSCHC analyst to provide program performance metrics.
• Work with the multi-disciplinary team to build a strong team atmosphere, to foster continuous improvement in current and future TAG processes.
• Work directly with patients as needed for remote monitoring purposes and outreach with instructions when appropriate.
• May act as an RN team leader, rendering and supervising patient care in an ambulatory care setting, as directed.
• Work directly with DON to grow an existing remote monitoring program into a sustainably higher level of performance and volume.

QUALIFICATIONS:

• Fluent Spanish-speaker.
• Active RN licensure in Wisconsin
• Current BLS.
• 2 years of clinical experience.
• Exhibits excellent interpersonal communication skills with compassion, empathy and sensitivity to participant needs.
• Desire and willingness to collaborate as a member of a high-functioning transdisciplinary team.
• Can work remotely as approved by SSCHC HIPAA team with in-person requirements as needed.
• Qualified candidates must be local, this position requires that you are able to meet on site as needed.

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