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Advanced Monitored Caregiving

<div>The Telephonic Health Services Coordinator (HSC) serves as the primary point of contact for newly referred patients and plays a critical role in patient outreach, registration, enrollment, and ongoing telephonic engagement. This role supports patients with chronic conditions such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, hypertension, and related conditions.
As the first member of the clinical team that most patients interact with at AMC Health, the HSC is responsible for building trust, demonstrating empathy, clearly explaining Remote Patient Monitoring (RPM) services, and ensuring a smooth and compliant enrollment process. Following enrollment, the HSC collaborates closely with nurse care managers, nurse care associates, and other members of the clinical care team to support patients in meeting their health goals and adhering to care plans.
This position is essential to organizational growth, patient engagement, and fulfillment of client enrollment commitments.
Essential Job Functions
The following duties are representative of the essential functions of the position and are not intended to be exhaustive:
Patient Outreach, Enrollment &amp; Engagement
<ul><li>Conduct outbound outreach to newly enrolled prospective patients to explain AMC Health&rsquo;s Remote Patient Monitoring programs, services, and benefits.</li>
<li>Accurately describe program features, expectations, and value in a clear, compassionate, and patient-centered manner.</li>
<li>Engage patients telephonically to establish rapport, address questions, and encourage participation and adherence to monitoring programs.</li>
<li>Complete required telephonic interventions, including Welcome Calls and Post-Physician Visit Updates.</li>
</ul>
Care Coordination &amp; Clinical Support
<ul><li>Document patient information accurately and comprehensively in the electronic health record (EHR) in accordance with organizational policies and standards of practice.</li>
<li>Collaborate with nurse care managers and the broader care team to support patient care goals.</li>
<li>Track hospitalizations and notify nursing staff upon patient discharge, as required.</li>
<li>Coordinate patient assistance services as directed, including referrals for transportation, housekeeping, home modifications, food assistance, or other approved services.</li>
<li>Follow up with patients to confirm services have been initiated and are meeting expectations.</li>
</ul>
Communication &amp; Administrative Responsibilities
<ul><li>Respond to inbound patient, client, and provider inquiries and appropriately determine service needs.</li>
<li>Initiate outbound communications (phone, fax, email) with patients, clients, physician offices, and care providers.</li>
<li>Confirm and maintain accurate provider contact information, including phone and fax numbers.</li>
<li>Escalate unresolved patient issues or care-coordination concerns to leadership in a timely and appropriate manner.</li>
</ul>
Performance &amp; Compliance
<ul><li>Meet or exceed established performance metrics and service level agreements (SLAs), including but not limited to:
<ul><li>Call volume expectations and disengagement thresholdComply with all company policies, procedures, HIPAA requirements, and applicable federal and state regulations.</li>
</ul></li></ul>Required Competencies &amp; Skills
<ul><li>Strong organizational, time management, and multitasking skills.</li>
<li>Excellent verbal and written communication skills with strong attention to detail.</li>
<li>Demonstrated ability to actively listen and engage patients with empathy and professionalism.</li>
<li>Ability to work independently in a remote environment while maintaining accountability for assigned tasks.</li>
<li>Strong problem-solving and critical-thinking skills, with the ability to follow issues through resolution.</li>
<li>Proven ability to build rapport and maintain productive relationships in a telephonic, remote setting.</li>
<li>Comfort navigating multiple systems and technologies simultaneously.</li>
<li>Bilingual (Spanish) preferred.</li>
</ul>
Education, Experience &amp; Technical Requirements
<ul><li>Preferred: Completion of a Medical Assisting program accredited by CAAHEP or ABHES.</li>
<li>Minimum experience requirements:
<ul><li>At least six (6) months of experience performing general duties as a Medical Assistant OR</li>
<li>Three (3) years of experience working in a clinic or comparable healthcare setting with direct patient contact.</li>
</ul></li><li>Knowledge of medical terminology and prior experience using electronic health record (EHR) systems.</li>
<li>Strong technical aptitude, including the ability to assist patients remotely with health devices and troubleshoot basic issues.</li>
<li>Ability to type a minimum of 50&ndash;60 words per minute while speaking with patients by phone.</li>
<li>Must be able to work schedules aligned to client-specific time zone requirements, as dictated by business needs.</li>
</ul>
Licensure and Certification Requirements
<ul><li>Active CNA certification or equivalent certification (e.g., Pharmacy Technician), in good standing.</li>
</ul>
Physical Demands &amp; Work Environment
<ul><li>Ability to work effectively in a fully remote environment.</li>
<li>Must maintain a dedicated home office that is private, quiet, secure, and free from distractions.</li>
<li>Reliable internet access that meets company minimum technical requirements.</li>
<li>This role is primarily sedentary and requires extended periods of computer and telephone use.</li>
</ul>
Equal Employment Opportunity &amp; ADA Statement
In compliance with the Americans with Disabilities Act (ADA), this job description identifies the essential functions of the position. Reasonable accommodations will be considered to enable qualified individuals with disabilities to perform these essential functions. Employees are expected to comply with all company policies, procedures, and applicable legal and regulatory requirements.</div>

Telephonic Health Services Coordinator

<div>At AMC Health, we deliver advanced virtual caregiving through a whole-person, data-driven approach. Our mission is to improve clinical outcomes and health equity by combining compassionate care with real-time data, advanced analytics, and innovative technology. We empower clinicians to practice at the top of their license while helping patients heal safely and comfortably at home.
Position Summary
The Telephonic Nurse Care Manager is responsible for the remote, telephonic management of patients with chronic and complex conditions (including but not limited to CHF, COPD, diabetes, and hypertension). This role partners closely with patients, caregivers, and interdisciplinary care teams to assess health status, develop and implement evidence-based care plans, monitor biometric and IVR data, and intervene proactively to reduce risk, prevent escalation, and improve outcomes.
This is a remote position requiring strong clinical judgment, excellent communication skills, and comfort working in a technology-enabled, fast-paced virtual care environment.
Key Responsibilities
<ul><li>Conduct comprehensive telephonic and virtual clinical assessments, including review and interpretation of biometric, RPM, and IVR data with trend analysis</li>
<li>Develop, implement, and adjust individualized nursing care plans aligned with patient goals, evidence-based practice, and organizational protocols</li>
<li>Engage patients using Motivational Interviewing techniques to drive behavior change, adherence, and self-management</li>
<li>Identify clinical risks, changes in condition, and urgent situations; escalate appropriately and in accordance with clinical guidelines</li>
<li>Collaborate with interdisciplinary care teams (internal and external) to coordinate care, referrals, and transitions across the continuum</li>
<li>Deliver proactive interventions aimed at reducing hospitalizations, ER visits, and overall cost of care</li>
<li>Document all patient interactions accurately, timely, and comprehensively in the electronic health record (EHR)</li>
<li>Participate in quality improvement initiatives, chart audits, and performance reviews to enhance clinical outcomes and care delivery</li>
<li>Perform care management activities in alignment with client-specific workflows, performance expectations, and service-level requirements</li>
<li>Maintain compliance with all clinical, regulatory, HIPAA, and organizational standards</li>
</ul>
Core Competencies
<ul><li>Strong clinical assessment and critical-thinking skills in a remote care setting</li>
<li>Excellent time management and organizational skills with the ability to prioritize effectively</li>
<li>High degree of accountability for patient safety, outcomes, and care quality</li>
<li>Ability to work independently while remaining highly collaborative within a virtual team</li>
<li>Exceptional verbal and written communication skills</li>
<li>Strong relationship-building skills with patients, caregivers, colleagues, and clients</li>
<li>Comfort navigating multiple technology platforms and adapting quickly to new tools</li>
</ul>
Education &amp; Experience Requirements
<ul><li>Nursing degree from an accredited college or university (ADN or BSN required; BSN preferred)</li>
<li>Minimum of 5 years of broad clinical nursing experience</li>
<li>Minimum of 3 years of experience in one or more of the following:
<ul><li>Care management or care coordination</li>
<li>Home health or transitions of care</li>
<li>Telehealth or virtual care</li>
<li>Chronic disease management (e.g., cardiac, pulmonary, endocrine)</li>
</ul></li><li>Strong computer proficiency, including EHR documentation, navigating multiple systems, and troubleshooting basic technical issues</li>
<li>Ability to work assigned time zones and schedules based on client needs</li>
</ul>
Licensure &amp; Certification
<ul><li>Active, unrestricted RN license</li>
<li>Compact (NLC) license and/or California RN license required, depending on assignment</li>
</ul>
Physical Demand &amp; Work Environment
<ul><li>Fully remote/home-based role</li>
<li>Private, quiet, and secure home office free from distractions</li>
<li>Reliable high-speed internet meeting company requirements</li>
<li>Ability to sit for extended periods and perform repetitive computer-based tasks</li>
</ul>
What We Offer
<ul><li>Opportunity to work at the forefront of virtual care and remote patient monitoring</li>
<li>Mission-driven culture focused on innovation, collaboration, and patient impact</li>
<li>Competitive compensation and comprehensive benefits</li>
<li>Supportive, remote-first work environment with growth opportunities</li>
</ul>
AMC Health is an Equal Opportunity Employer. We are committed to building a diverse and inclusive workforce.</div>

Telephonic Nurse Care Manager

<div>At AMC Health, we are transforming healthcare through advanced remote patient monitoring and virtual care solutions that help patients manage chronic conditions safely at home. Our care teams play a critical role in improving outcomes, enhancing patient engagement, and reducing avoidable hospitalizations.
We are seeking a Telephonic Nurse Care Associate (LPN/LVN) who is passionate about patient engagement, chronic care support, and using technology to improve healthcare delivery.
What You&rsquo;ll Do
<ul><li>Conduct telephonic clinical outreach to patients enrolled in Remote Patient Monitoring (RPM) and chronic care programs.</li>
<li>Review biometric alerts and identify out-of-range readings; escalate clinical concerns according to protocols.</li>
<li>Provide patient education and coaching to support adherence to care plans and lifestyle recommendations.</li>
<li>Accurately document patient encounters in EMR/RPM systems in compliance with clinical and regulatory standards.</li>
<li>Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams to coordinate patient care.</li>
<li>Support patient engagement initiatives designed to improve monitoring compliance and clinical outcomes.</li>
</ul>
What You Bring
<ul><li>Active LPN/LVN license in good standing.</li>
<li>5+ years of clinical experience, including 3+ years in care coordination, telehealth, home care, or chronic disease management.</li>
<li>Experience supporting patients with conditions such as CHF, COPD, diabetes, or hypertension preferred.</li>
<li>Strong telephonic communication, patient education, and motivational interviewing skills.</li>
<li>Experience using EMR/EHR systems and comfort working in a technology-enabled care environment.</li>
<li>Ability to work independently in a structured remote clinical workflow.</li>
</ul>
Why AMC Health
<ul><li>Fully remote clinical role supporting patients nationwide</li>
<li>Opportunity to work at the forefront of virtual care innovation</li>
<li>Collaborative interdisciplinary care teams</li>
<li>Meaningful work improving patient outcomes every day</li>
<li>Growth opportunities within expanding virtual care programs</li>
</ul>
Work Environment Requirements
<ul><li>Private, secure, distraction-free home workspace</li>
<li>Reliable high-speed internet connectivity</li>
<li>Ability to work schedules aligned with assigned patient populations or client time zones</li></ul></div>

Telephonic Nurse Care Associate

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Advanced Monitored Caregiving

About Company

Telephonic Health Services Coordinator

Telephonic Health Services Coordinator

Telephonic Health Services Coordinator

Telephonic Nurse Care Manager

Telephonic Nurse Care Associate

Telephonic Nurse Care Associate

Telephonic Nurse Care Manager