Registered Nurse Remote Monitor - Hybrid/CT

About Brook Inc

Brook Health is a digital health company. Brook offers a set of products and services extending health-care-management beyond the walls of doctors’ offices and into people’s homes and their day-to-day lives. Brook provides people who are living with chronic conditions a highly personalized high-touch support via a smartphone app offering AI tools, data collection through connected devices, and real-time access to health coaches to make smart, daily decisions and to build healthy habits to achieve their long-term health goals. Brook also offers a CDC-approved preventative program for people who are at high risk for diabetes. For primary care providers, Brook offers SaaS tools for continuous remote monitoring, providing insights into their patient’s health needs, enabling a new model of care, and early preventative interventions with our own care delivery team resulting in better health outcomes.

Brook offers a dynamic work experience with team members in multiple time zones. We have a fast-paced, user-centric, high-expectation, constantly-improving-ourselves type of culture. Our goal is to change the approach to pre-condition and chronic condition care management, to use technology to support health-care providers in improving patients’ health outcomes.

About the role: 

This role functions as a remote patient monitoring nurse with an individual patient case load in collaboration with the Brook Health team, accountable for the application of remote clinical nursing practice and patient care management.  There is responsibility to manage the resources within the individual team: human, fiscal and any other resource identified as they apply to the development of process, personnel and compliance. This is a nurse care/case manager type role that requires mindfulness and adherence to regulatory and professional standards, including Health Insurance Portability and Accountability Act (HIPAA) as well as any additional security requirements identified. It is imperative to foster collaborative relationships within all areas of the interdisciplinary workings of the contracted clinic/health care provider and Brook as a partnership. This role/position is largely responsible for patient onboarding, care planning and education for new patients on the Brook platform.

Responsibilities: 

●       Work in a tech-first model of healthcare.

●       Collaboration, shared decision-making, and partnership across clinical and non-clinical care team   members, including our health coaches.

●       Co-manage a population living with one or multiple chronic conditions.

●       Collaborate on a panel of members assigned to your care team to provide clinical monitoring of physiological data based on outlined pathways and care coordination based on the member’s care plan.

●       Remotely review patient/client data, health information and engage with members through text and voice calls.

●       Frequency of contact/ touchpoints determined as patient/client need indicates from daily to monthly to ensure quality outcomes and billing/coding requirements are met.

●       Keep a detailed status record (documentation) on members and report out weekly updates.

●       Leverage strong time management skills to make impactful judgment calls on member care and balance with daily team meetings and weekly updates.

●       Utilize our custom-built care delivery platform, POCAR, and the partner’s EMR to collect data, document member interactions, organize information, track tasks, and communicate with your team and members.

●       Foster lasting and trusting relationships to assist members in achieving goals, identifying new needs, and coordinating care.

●       Conduct visits to, and build rapport with, partnering providers and their staff

●       Effectively articulate the benefits of Brook’s services, enroll eligible members, and educate members on the use of their devices.

●       Provide ongoing clinical monit