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Registered Nurse – Care Management, Evening & Overnight Schedule
CareTalk Health. Prepare comprehensive Annual Wellness Visit charts and support provider efficiency and CMS compliance .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and telehealth care coordination, with strong clinical assessment and care coordination skills. Proficient in using EHR systems and telehealth platforms to enhance patient engagement and compliance with CMS standards.
Highest-signal resume keywords
Registered Nurse (RN) LicenseChronic Care Management (CCM)Remote Patient Monitoring (RPM)Telehealth ExperienceClinical Assessment Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Nursing ExperienceCare CoordinationMotivational InterviewingPatient EducationComprehensive Nursing AssessmentsPreventive Care KnowledgeCMS DocumentationTelephonic Care ManagementVirtual Care CoordinationAnnual Wellness Visit Preparation
Soft Skills
Communication SkillsDecision-MakingMultitaskingProfessional DevelopmentPatient Advocacy
Tools & Technologies
CT360RXNTZoomEHR SystemsTelehealth PlatformsGoogle ChromeAmazon Workspaces
Certifications & Qualifications
Gerontological Nursing CertificationCase Management Certification
Industry Keywords
CMS ComplianceHIPAA StandardsPatient EngagementInterdisciplinary TeamsPreventive Care
Tech Stack
Tools & technologiesMacOS
About the role
Key responsibilities & impact- Prepare comprehensive Annual Wellness Visit charts and support provider efficiency and CMS compliance
- Conduct face-to-face virtual visits via Zoom to review medical, surgical, and family histories; medications; screenings; immunizations; and cognitive, functional, and depression assessments
- Identify overdue screenings, risk factors, and care gaps
- Communicate patient summaries and key findings to providers
- Manage medically complex patients through telephonic and portal-based care management
- Conduct comprehensive nursing assessments
- Develop, implement, and monitor individualized CCM, RPM, RTM, and APCM care plans
- Complete APCM care plan creation and annual updates
- Use motivational interviewing to engage patients and caregivers
- Monitor progress, reassess goals, identify barriers, and adjust care plans
- Communicate patient status and updates to primary care providers and interdisciplinary teams
- Provide patient education, coaching, and advocacy
- Identify and close preventive, laboratory, medication, and follow-up care gaps
- Coordinate orders, referrals, follow-up actions, services, and providers
- Maintain accurate, timely, and confidential patient records
- Use CT360, RXNT, Zoom, EHR systems, and telehealth platforms
- Support clinical quality, patient engagement, and satisfaction outcomes
- Adhere to HIPAA, CMS, and organizational compliance standards
- Perform independent decision-making, prioritization, multitasking, professional development, and other assigned duties
Requirements
What you’ll need- Active, unrestricted Registered Nurse (RN) license in a compact state
- Ability and willingness to obtain additional state licenses upon hire
- Minimum 3 years of clinical nursing experience, including bedside, Primary Care, Med/Surge, or Home Health experience
- Experience providing care in a telehealth or virtual care setting
- Remote work experience
- Experience with Chronic Care Management (CCM), Remote Patient Monitoring (RPM), telehealth or virtual care coordination, primary care, or care management
- Proficiency with EHR systems and telehealth platforms
- Strong clinical assessment and care coordination skills
- Dedicated, private home workspace
- Windows 10 or later or macOS 14 Sonoma or later; Windows or Apple computer only
- Intel Core i5 or AMD equivalent processor, or Apple Silicon
- 16 GB RAM
- Wired headphones
- Minimum 100 Mbps download and 50 Mbps upload internet speeds with ethernet connection
- Google Chrome with Amazon Workspaces
- Webcam for video calls
- Preferred: Medicare Annual Wellness Visit experience, CMS documentation and preventive care knowledge, case management or gerontological nursing certification, and experience across multiple virtual care programs
Benefits
Comp & perks- Ability to obtain additional state licenses upon hire (company paid)
- Professional development and ongoing training
- Remote work from a home office
- Company-paid additional state licenses
- Equal opportunity and inclusive work environment