Careers

Chronic Care Management

About Monovo

Monovo is a virtual healthcare system dedicated to delivering exceptional patient care and improving health outcomes. We specialize in Chronic Care Management (CCM) and Remote Physiological Monitoring (RPM), supporting patients with chronic conditions through proactive, technology-driven, and compassionate care.

We believe primary care is the heart of healthcare, and we exist to support providers in delivering exceptional care. Our approach combines technology with dedicated hands-on service, ensuring patients feel cared for long after they leave the clinic.

About the role

The Remote Care Coordinator will oversee patient care through both personalized care coordination and remote monitoring of real-time health data. This includes developing and implementing care plans, monitoring patient progress, educating patients, and collaborating with providers to ensure proactive interventions and improved health outcomes.


What you'll do

  • Develop and support individualized care plans for patients with chronic conditions.
  • Monitor patient data from remote devices, including blood pressure monitors, pulse oximeters, weight scales, chest sensors, and other remote monitoring tools.
  • Review patient readings and symptoms over time to identify abnormal trends, changes in condition, or potential concerns.
  • Escalate clinical concerns appropriately to physicians, providers, and internal care teams.
  • Conduct patient assessments, check-ins, and follow-ups via phone, text, email, and other approved communication channels.
  • Provide patient education on disease management, medication adherence, device usage, program participation, and lifestyle modifications such as diet, exercise, and stress management.
  • Support patient onboarding and technical setup within the Monovo Clinician Portal, Monovo Patient Application, and applicable remote monitoring programs.
  • Educate patients on how to successfully participate in their care program, including how to use devices, submit readings, and communicate with the care team.
  • Assist in identifying and enrolling patients who qualify for Monovo’s virtual health programs, ensuring screening criteria and program requirements are met.
  • Coordinate care with primary care providers, specialists, and interdisciplinary teams.
  • Communicate clearly and professionally with providers by summarizing patient context, relevant trends, actions taken, concerns, and recommended next steps or requests.
  • Document patient interactions, clinical data, care plans, education, follow-up, and escalation activity in the Monovo Clinician Portal and other applicable systems.
  • Support patient engagement and participation in remote monitoring and care coordination programs.
  • Ensure compliance with HIPAA, CCM, RPM, and other applicable program guidelines.
  • Stay current on best practices in telehealth, care coordination, chronic care management, and remote patient monitoring.

Qualifications

  • Active U.S. Compact RN license required.
  • Minimum of 1 year of nursing experience required, preferably in ICU, Med/Surg, chronic care management, case management, primary care, population health, or a similar clinical setting.
  • Strong clinical assessment and critical thinking skills, including the ability to recognize and respond to urgent changes in patient condition.
  • Ability to review patient vitals, symptoms, and health data over time and identify when trends require follow-up or escalation.
  • Experience with care coordination, patient education, and remote monitoring technology preferred.
  • Proficiency with EHR systems, healthcare documentation, and clinical workflows.
  • Strong documentation habits, including timely, objective, accurate, and complete charting.
  • Excellent verbal and written communication skills, with the ability to engage patients remotely and explain clinical information in simple, patient-friendly language.
  • Ability to communicate clearly and professionally with providers, internal team members, and interdisciplinary care teams.
  • Strong attention to detail and ability to consistently follow clinical workflows, protocols, and escalation processes.
  • Proactive follow-through with patients, providers, and internal team members.
  • Compassionate, professional, and patient-focused approach to care.
  • Ability to work independently in a remote environment with minimal supervision.
  • Strong personal accountability, integrity, reliability, and sound judgment.
  • Ability to protect patient privacy and maintain HIPAA-compliant practices.
  • Comfortable using technology, including EHR systems, remote monitoring platforms, patient communication tools, internal documentation systems, and virtual collaboration tools.
  • Strong organizational skills and ability to manage multiple patient needs, follow-ups, and documentation requirements throughout the day.

Preferred Qualifications

  • Experience working in remote patient monitoring, chronic care management, case management, population health, telehealth, or primary care.
  • Experience caring for patients with chronic conditions such as hypertension, diabetes, COPD, CHF, kidney disease, obesity, or cardiovascular disease.
  • Experience reviewing blood pressure, heart rate, oxygen saturation, weight, symptoms, and patient-reported concerns in a clinical context.
  • Experience working with older adult populations and patients who may need additional education, encouragement, or technical support.
  • Comfort balancing clinical judgment with established workflows, protocols, and escalation criteria.
  • Experience troubleshooting basic patient technology issues, including device setup, app access, Bluetooth pairing, connectivity issues, and patient login support.
  • Experience supporting patient onboarding, enrollment, or program participation in a healthcare setting.
  • Experience using multiple software systems throughout the day while maintaining accuracy and efficiency.
  • Bilingual abilities are a plus.
  • Prior experience working in a startup, small team, or fast-changing healthcare environment is a plus.

Requirements

  • Commitment to a minimum of 20 hours/week during business hours across mixed timezones
  • U.S. work authorization
  • Must reside in UT or TX
  • Must be able to work at a computer for extended periods of time, including viewing a screen, typing, navigating multiple systems, and remaining seated for much of the workday.
  • Tech-savvy and comfortable learning new systems, using multiple platforms at once.
  • Must maintain a private, HIPAA-compliant workspace at home where patient information can be discussed, viewed, and documented confidentially.
  • Must have a reliable high-speed internet connection that supports video calls, phone calls, EHR access, remote monitoring platforms, and other required systems.


Benefits

  • Work from home
  • PTO and paid holidays for FT team members
  • Performance based raises
  • Supportive work environment with collaborative healthcare team

Het salarisbereik voor deze rol is:

36 - 36 USD per hour (Remote)

Clinical

Remote

Deel met:

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