What are the responsibilities and job description for the Nurse Care Manager and Remote Monitoring Coordinator (LPN/RN) - PT with path to FT position at Seniors at Home?
Practice Nursing Differently
What if you could practice nursing with more autonomy, more flexibility, and more opportunity to truly make a difference in patients' lives?
No rotating shifts. No overloaded floors. No rushed 10-minute patient interactions. No giant healthcare bureaucracy.
At Seniors at Home, we are building a different model of healthcare, helping seniors safely remain independent at home through proactive care management, chronic care coordination, remote monitoring, and relationship-driven support. We fill the gap between "too much care" and "not enough care," supporting older adults who want to stay independent while ensuring the right level of clinical oversight.
We're expanding into Southern Oregon, and we're looking for a nurse to be Seniors at Home in your community: the person our Medford-area patients know, trust, and count on.
This is not traditional bedside nursing. This is relationship-based nursing with room to think, advocate, coordinate, and do the right thing for patients.
This is a focused role, not general nursing. You provide two services, Chronic Care Management (CCM) and Remote Patient Monitoring (RPM), and you coordinate with the patient's other providers, specialists, therapists, and caregivers who deliver the rest of their care. Much of the work is done remotely by phone and telehealth video from home, with periodic in-home visits to patients in your region.
What You Will Do
Chronic Care Management. Maintain an ongoing panel of senior patients: monthly care-management contact by phone and telehealth, periodic in-home visits, chronic condition monitoring, medication review, patient education, and coordination with each patient's providers and family. Identify changes in condition early to help prevent avoidable hospitalizations.
Remote Patient Monitoring. Patients use simple cellular health devices such as blood pressure cuffs, scales, and pulse oximeters that work without WiFi. You deliver and set up the devices during home visits, teach patients and families to use them, follow up on readings, and troubleshoot or replace units as needed. A central clinical team monitors incoming device alerts day to day; you provide the local follow-up with your patients.
Additional responsibilities:
- Field calls from referred and prospective patients, explain our services, and help them enroll.
- Conduct in-home eligibility screening and establishing visits, with a telehealth provider participating.
- Build and manage care plans and documentation in our care-management platform.
- Coordinate care across each patient's providers, specialists, therapists, caregivers, and family.
- Help develop workflows as the Medford hub grows.
- Participate in a shared on-call access structure.
The technology is consumer-level, not IT work. If you are comfortable using a smartphone or tablet for video calls and can teach patients to do the same, you have the technical skills needed. Our central team handles all system configuration and data.
Compensation
- $36 to $42 per hour, depending on experience and licensure (LPN or RN).
- Mileage reimbursed at the IRS standard rate for work-related travel.
Qualifications
- Active Oregon LPN or RN license (required).
- Based in or near Medford, with a reliable vehicle and willingness to travel for in-home visits within Southern Oregon (required). In-home visits, including initial establishing visits, may require up to a 60-minute drive from Medford.
- Experience with seniors, chronic conditions, care coordination, home health, hospice, Medicare patients, CCM, or remote monitoring is preferred.
- Comfortable using everyday consumer technology and teaching it to patients.
- Strong communication skills, dependable, and able to work independently.
Position Details
- Hybrid remote based in Medford, Oregon. Care-management calls and telehealth video are done from home; the role also requires periodic in-home patient visits within Southern Oregon.
- Part-time (about 15 hours per week) to start, with a defined path to full-time as the patient panel grows.
- Compensation and mileage as described above.
License: Oregon LPN/RN required. Location: Medford, OR area. Work location: hybrid remote in Medford, OR.
Pay: $36.00 - $42.00 per hour
Application Question(s):
- Are you comfortable conducting visits in patients' homes throughout Southern Oregon, which may require up to a 60-minute drive from Medford, including delivering and setting up simple health devices?
License/Certification:
- Oregon RN or LPN License? (Required)
Location:
- Medford, OR 97501 (Required)
Work Location: Hybrid remote in Medford, OR 97501
Salary : $36 - $42