Remote Inr Anticoagulation Rn Jobs in Plymouth, MA

Our Culture: WhyWork withUs?

Joining Outer Cape Health Servicesisn'tjust about takingon a new role;it'sabout embracing a mission that goes beyond the day-to-day. Here, you become part of a dedicated team committed to safeguarding and nurturing invaluable community health resources. Our ethos is built on creating a vibrant and inclusive workplace where every team member is valued and recognized for their unique contributions.

WhoWe Are:

Our mission is toprovidea full range of primary health care and supportive social services that promote the health and well-being of all who live in or visit the ten outermost towns of Cape Cod.

OCHS now cares for more than20,000 patientsannually, and no one is denied access to services due to an inability to pay. Founded in 1987 through the merger of Health Associates of Provincetown (establishedin 1972) and the AIM Medical Center in Wellfleet (establishedin 1966), Outer Cape Health has a long history of successful growth and expansion in pursuit of this mission. As a Patient-Centered Medical Home, OCHS holds itself to the highest standards.Ensuring patients have access to care when they need it and requestit andvalidatingthat staff are working at the top of theirlicensures,arethe foundationsof this model.

Our Core Competencies:

At Outer Cape Health Services, our core competencies are the foundation upon which our organization is built, guiding us in our mission to deliver exceptional health services to our communities. Our focus on fostering teamwork ensures that weoperateas a cohesive unit, valuing each member's contribution and working synergistically towards common goals. Integrity and honesty stand at the heart of everything we do, creating a culture of trust and respect among our team and the communities we serve.Embracingtechnology, we continually seek innovative solutions to enhance our services and operations. Finally,beingpatient-centered, we prioritize the needs and well-being of those we serve, striving to exceed expectations and make a meaningful difference in their lives.

ADay in theLife of thisRole:

The Remote Nurse is a key member of the Outer Cape Health Services (OCHS) clinical team, delivering high-quality, patient-centered care in a virtual environment. This position supports providers, medical assistants, behavioral health specialists, and other team members to ensuretimely, coordinated, and comprehensive care for patients. The remote nurse will focus on triage, care coordination, chronic disease management, and panel management,leveragingtechnology and clinical protocols tomaintaincontinuity of care and close care gaps.

Summary ofDuties:

Direct Patient Care & Clinical Support

• Conduct nurse visits via telehealth for chronic disease management, blood pressure checks, INR reviews, medication education, and post-hospital discharge follow-up.
• Perform triage using approved clinical protocols, assess patient needs, and coordinate same-day care when necessary.
• Exhibita high levelof clinical acumen and decision-making to address patients' acute and chronic needs as part of a highly functioning team.
• Reinforce treatment plans for chronic conditions (e.g., diabetes, hypertension, asthma).
• Process medication refill requests per standing protocols and ensureaccuratedocumentation.
• Educate patients on proper use of medical equipment, prescribed regimens, and other self-care practices.
• Providea patient-centered experience by addressing questions, explainingproceduresor testing, and connecting patients with community resources or support programs.
• Prepare charts for providers in advance of patient appointments
• Quality Assurance and Improvement Projects asdetermined
• Patient scheduling

Care Coordination & Panel Management

• Collaborate with providers and team members to close care gaps and ensure follow-up on labs, referrals, and preventive services.
• Participate in pre-visit planning,leveragingstanding orders to improve care delivery.
• Review dashboards and outreach to patients to schedule recommended visits and screenings.
• Assistwith care transitions and follow-up after hospital or ED discharge.

Team-Based Care & Quality Improvement

• Activelyparticipatein virtual team huddles, case conferences, and interdisciplinary care planning.
• Support population health initiatives and quality improvement projects to advance OCHS' strategic goals.
• Facilitate coordination with specialty care, social services, and community-based resources to meet patient needs.

Documentation & Compliance

• Maintainaccurateandtimelydocumentation in the Electronic Medical Record (EMR) per OCHSpolicies.
• Manage all assigned in-baskets including telephone encounters, patient messages, and overdue results.
• Perform pre-visit medication reconciliation whenindicated.
• Communicate abnormal and normal results promptly to providers and patients.
• Ensure compliance with HIPAA, infection control standards, and organizational clinical protocols.

Collaboration & Communication

• Promote teamwork by collaborating with providers, Medical Assistants, and Patient Service Representatives.
• Seek guidance from the Nurse Manager forescalatingconcerns or complex clinical issues.
• Contribute to a culture of safety by adhering to National Patient Safety Goals (e.g., patient identification, medication safety, infection prevention).

Work Environment

• Fully remote position with reliable high-speed internetrequired.
• Occasional on-site meetings ortrainingsmay berequired.
• Mustmaintaina HIPAA-compliant home office environment for patient confidentiality.

Documentation & Compliance

• Maintain patient records withaccurateandtimelydocumentation in the Electronic Medical Record (EMR)in accordance withOCHS policies.
• Ensure compliance with infection control standards, medication safety, and clinical protocols.
• Maintain patient privacy and confidentiality of information at all timesin accordance withOCHS policies and HIPAA.

WhatWeNeed fromYou:

• Bachelor of Science,orAssociate's in nursingfrom an accredited school of nursing by AACN.
• CurrentUnrestrictedRegistered Nurse (RN)or Licensed Practical Nurse (LPN)license from the Massachusetts State Board of Registration.(Pleasenote,thattheState of Massachusetts does not acknowledge compact licensure for RNs or LPNs)
• Experience working remotely in a health care roleisrequired
• BLSCertificationis Required.
• Minimum of 1-2 years of clinical nursing experience preferred, ideally in a primary care or community health setting.
• Experience ordesireto work inteam-based care model.
• Maintain and enhance professional nursingskillsand knowledge by attending continuing education programs.
• Excellent interpersonal skills, communication skills, organizational abilities, computer experience, and the ability to work within a collaborative team setting.
• Excellent written and verbal communication skills-bi-lingualhelpful.
• Proficiencyin computer skillsincluding:Outlook, Microsoft office, OneDrive etc.
• Proficiencyin Electronic Health Records (EPIC preferred)
• Excellent judgment and ability to solve problemsin a timely manner.
• Ability to adhere to strict confidentiality standards.
• Demonstrated ability to work effectively both as a team member and independently.
• Demonstrated ability to work in a culturally diverse and inclusiveenvironment.

Work Environment

• The functions of this role are conductedremotelyduring the schedule hours of the OCHS clinics.

Reporting Structure:

This positionreports tothe Director of Nursing

AAP/EEOC Statement

Outer Cape Health Services is committed toprovidingequal employmentopportunityin all our employment programs and decisions. Discrimination in employmenton the basis ofany protected class under federal, state, or local law is a violation of our policy and is against the law. Equal employment opportunity is provided to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, coveredveterans'status, marital status, personal appearance, sexual orientation, family responsibilities, matriculation, political affiliation, or any other protected characteristic. This policy applies to all terms and conditions of employment, including, but not limited to, recruitment and hiring, placement, promotion, termination, reductions-in-force, recall, transfer, leave of absence, compensation, and training.

In accordance withMassachusetts law, we are committed to wage transparency. The salary range for this position is $32.00/hourly to $45.00/hourly. This range is provided to promote equity and transparency in our hiring process. Actual compensation may vary based on factors such as experience, qualifications, and other job-related criteria..