The Home Telehealth RN is a professional who coordinates care for a panel of patients throughout the continuum of care to assure that care is timely, appropriate, of high quality and cost effective. A Home Telehealth RN works closely with the primary care provider (or providers) and other healthcare professionals and team members, other clinics, internal or external services and community agencies. Major Duties include, but are not limited to: Interfaces with a panel of rural or highly rural Veteran patients via computer to monitor daily responses from Veterans' home monitoring input devices. Completes assessment of patients who may have multiple and complex comorbidities that necessitate additional coordination of care and case management to ensure easily accessible, continuous, high qua
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