Registered Nurse Supervisor - Alerts (PRN/Float)

In the U.S., 60% of adults – more than 133 million people – live with at least one chronic condition. These patients need frequent, proactive support to stay healthy, yet our care system isn’t built for that level of attention. With rising clinician shortages, strained infrastructure, and reactive care models, patients too often end up in the ER or the hospital when those outcomes could have been prevented.

At Cadence, we’re building a better system. Our mission is to deliver proactive care to one million seniors by 2030. Our technology and clinical care team extend the reach of primary care providers and support patients every day at home. In partnership with leading health systems, Cadence consistently monitors tens of thousands of patients to improve outcomes, reduce costs, and help patients live longer, healthier lives.

Overview

The RN Supervisor (Alerts) is responsible for the daily workflow, clinical quality, and operational performance of a remote team of Registered Nurses (RNs) working in a high-volume, queue-based triage environment. This team manages real-time patient alerts generated from remote monitoring data.

This role requires strong clinical judgment, real-time operational management, and performance coaching to ensure RNs deliver timely, accurate triage while meeting aggressive productivity expectations. The RN Supervisor will balance clinical auditing with throughput management in a fast-paced, back-to-back workflow environment.

This individual will also partner closely with clinical leadership to support escalation pathways, clinical decision-making, and ongoing team development. This role reports directly to the RN Manager.

Required Skills

• Clinical Proficiency: Active, unencumbered RN compact license with strong clinical judgment, ideally in triage, remote patient monitoring, acute care, or chronic disease management. Ability to evaluate alert-based workflows and assess quality of triage decisions and documentation.
• Leadership and Coaching: Strong experience coaching in fast-paced environments, providing structured feedback on both clinical quality and productivity. Ability to address performance gaps in real-time and through formal performance management.
• Remote Management: Proven ability to lead and manage a fully remote team of up to 20 RNs/LPNs in a high-volume, queue-driven environment.
• Operational Acumen: Strong ability to interpret real-time metrics including alert volume, call handling time, throughput, and billable time. Skilled in driving accountability in a metric-driven environment with minimal downtime.
• Interpersonal Communication: Excellent verbal and written communication skills for leading team meetings, conducting 1:1s, and collaborating with clinical and cross functional leaders. 
• Administrative Oversight: Highly organized with experience managing schedules, PTO, shift coverage (including after-hours/weekends), and daily staffing needs in a continuous operations environment.
• Recruitment Support: Experience participating in hiring processes, particularly assessing candidates for triage readiness, speed, and clinical decision-making.

Focus Areas (Time Allocation Split)

The role's time will be split across the following key functional areas:

• Clinical Auditing and Coaching (25%)
• Operational Performance and Productivity Management (25%)
• Clinical Education Support (10%)
• Biweekly 1:1s and Performance Management (25%)
• Team Meetings, Interviewing and Other Duties As Assigned (5%)
• Patient/Clinical Care (10%)

Schedule: Monday–Friday daytime hours (PRN/Float RN support)

Required Experience

• Minimum of 5 years of experience as a practicing RN
• Active, unencumbered compact RN license required
• Minimum of 1 year of supervisory or management experience, in triage, remote patient monitoring or high-volume call or queue-based environments
• Relevant clinical experience in ICU, triage, urgent care, or other high-acuity environments, with strong experience managing medically complex patients with chronic conditions.
• Demonstrated experience managing metric-driven performance and productivity
• Prior experience in remote workforce management strongly preferred

Who we are

Cadence Health was built around a simple promise: patients always come first. Our technology-enabled remote care model pairs continuous health insights with a highly skilled clinical Care Team, empowering seniors to stay healthier, avoid complications, and live more independ