• Role: On Call Registered Nurse (RN) weekend

• Comp: $300-$400/day

• Schedule: On Call After Hours/ Part Time Saturday and Sunday 24 hour shifts starting at 8 AM

• Location: remote

Who We Are:

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Our ultimate mission is to dramatically improve patient access to home health care.

We build technology to better support field clinicians. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last-minute changes, and protect clinician time.

Why Adaptive:

Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.

Clear productivity model with upside: You are paid per productivity point with clear expectations.

Schedule flexibility: We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible.

Cutting-edge tech built for clinicians: Our charting tools reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination.

Mission-driven work: We are here to expand access to high-quality home health care, and we want clinicians who take pride in raising the standard.

What you will do:

The Telehealth weekend on-call Nurse is responsible for providing remote clinical support, patient monitoring, triage, education, and care coordination for home health patients through telehealth and remote patient monitoring (RPM) programs. This role serves as the primary clinical contact for patients enrolled in telehealth services and plays a critical role in early identification of health concerns, intervention, prevention of hospitalizations, and improving patient outcomes.

The Telehealth Nurse conducts virtual patient interactions, reviews RPM alerts and vital signs, documents all encounters in the EMR, escalates clinical concerns appropriately, and collaborates closely with field clinicians, physicians, and care coordination teams.

Key Responsibilities

Remote Patient Monitoring & Virtual Care

• Monitor daily patient biometric data including:

  • Blood pressure

  • Pulse oximetry

  • Weight

  • Blood glucose

  • Heart rate

  • Temperature

• Review and respond to RPM alerts in a timely manner based on established clinical protocols.

• Conduct scheduled and as-needed telehealth calls/video visits with patients and caregivers.

• Identify early signs of clinical deterioration and intervene appropriately.

• Provide ongoing chronic disease management support for conditions such as:

  • CHF

  • COPD

  • Diabetes

  • Hypertension

  • Post-hospital recovery

• Reinforce physician orders, medication compliance, diet, and care plans during telehealth interactions.

Patient Triage & Escalation

• Perform remote nursing assessments and symptom triage.

• Escalate urgent or worsening patient conditions to:

  • Physicians

  • Field Clinicians

  • Clinical managers

  • Emergency services when appropriate

• Coordinate interventions to prevent avoidable ER visits and hospital readmissions.

• Document all patient interactions, assessments, and escalations in the EMR.

Patient Engagement & Education

• Educate patients and caregivers on:

  • Use of telehealth/RPM equipment

  • Disease management

  • Medication adherence

  • Symptom monitoring

  • When to seek medical attention

• Support patient engagement and encourage compliance with daily monitoring requirements.

• Assist patients experiencing technology or connectivity challenges.

• Build therapeutic relationships with patients through consistent communication and follow-up.

Clinical Coordination

• Collaborate with:

  • Home health nurses

  • Therapists

  • Physicians

  • Branch leadership

  • Intake and scheduling teams

• Communicate significant patient status changes promptly to the care team.

• Support continuity of care between hospital discharge and home recovery.

• Participate in interdisciplinary case conferences as needed.

Documentation & Compliance

• Maintain accurate and timely EMR documentation for all telehealth encounters.

• Ensure compliance with:

  • HIPAA regulations

  • Medicare and Medicaid guidelines

  • Home health documentation standards

  • Organizational telehealth policies

• Follow established telehealth workflows and escalation protocols.

Quality & Performance

• Support organizational goals related to:

  • Reduction in hospital readmissions

  • Reduce LUPAs

  • Reduce missed visits

  • Improved patient satisfaction

  • Increased patient engagement

  • Better clinical outcomes

• Meet productivity and responsiveness expectations for telehealth encounters and alert management.

• Participate in quality improvement initiatives and telehealth program optimization efforts.

Qualifications

Education

• Graduate of an accredited nursing program required.

• Associate or Bachelor of Science in Nursing (ASN/BSN) preferred.

Licensure/Certifications

• Active and unrestricted RN license required

• BLS certification required.

• Telehealth, case management, or chronic care management certifications preferred.

Experience

• Minimum 1–3 years of nursing experience required.

• Experience in one or more of the following preferred:

  • Home health

  • Telehealth

  • Remote patient monitoring (RPM)

  • Care management

  • Chronic disease management

  • Post-acute care

• Familiarity with EMR/EHR systems required.

• Knowledge of Medicare home health regulations preferred.

Required Skills

• Strong clinical assessment and triage skills

• Excellent phone and virtual communication skills

• Ability to recognize early warning signs of patient decline

• Strong documentation and organizational skills

• Ability to multitask and manage high call volumes

• Comfortable using telehealth platforms and digital health technology

• Compassionate and patient-centered communication style

KPIs / Performance Metrics

• RPM alert response times

• Patient call completion rates

• Telehealth adherence and patient engagement

• Reduction in avoidable hospitalizations/readmissions

• Documentation accuracy and timeliness

• Patient satisfaction scores

• Escalation and intervention effectiveness

• Decrease in LUPA rates

• Decrease in missed visits

• Productivity metrics (daily calls, monitored patients, completed follow-ups)

Physical & Work Requirements

• Prolonged periods of sitting and computer use.

• Ability to work in a fast-paced remote monitoring environment.

• May require evening/weekend rotation depending on patient coverage needs.

• Remote or hybrid work environment may be available based on organizational needs.