Conduct case finding and abstraction of cancer data, review medical records for compliance, submit data to the National Cancer Data Base and state registries, and resolve errors in records submission.

Position Summary Department:APAS OHMG RPM Shift: Day/Full Time Location: Remote (FL) Title: RN Remote Patient Monitoring Summary: The Remote Patient Monitoring (RPM) RN delivers expert virtual nursing care across a population of patients with complex, chronic, or transitional health needs. This role integrates advanced clinical judgment, care coordination, and digital health tools to proactively manage patient conditions, reduce avoidable utilization, and improve outcomes. The position includes flexible work arrangement, supporting a virtual-first care delivery model. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.” Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here. ORLANDO HEALTH - BENEFITS & PERKS: Competitive Pay - Evening, nights, and weekend shift differentials offered for qualifying positions. All Inclusive Benefits (start day one) - Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Forbes Recognizes Orlando Health as a Best-In-State Employer - Forbes has named Orlando Health as one of America's Best-In-State Employers for 2021. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued. Employee-centric Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare. Responsibilities Essential Functions • Welcomes newly enrolled patients into Remote Patient Monitoring (RPM) or continuous care programs; reviews program benefits, expectations, and how remote care supports chronic disease management and prevention. • Educates patients and caregivers on the use, purpose, and frequency of in-home monitoring devices; assists with troubleshooting and escalates technical issues to ensure uninterrupted data transmission. • Creates a personalized, patient-centered care plan during initial onboarding and updates it regularly via phone or video based on biometric trends, self-reported symptoms, and patient goals. • Conducts comprehensive nursing assessments to identify clinical needs, gaps in care, or social determinants impacting health; coordinates appropriate resources or referrals to address barriers. • Provides condition-specific education and motivational coaching to promote self-management, improve adherence, and prevent disease progression—focusing on chronic conditions such as CHF, COPD, hypertension, and diabetes. • Acts as the patient’s primary clinical contact for non-emergent needs, including medication refills, symptom concerns, appointment scheduling, and care navigation across the health system. • Monitors in-home device readings in real time during normal business hours; follows established protocols to document trends, assesses symptoms, and escalates concerning data to the appropriate provider or team. • Performs proactive outreach to review biometric data, assess symptom control, and delivers monthly care plan updates; adjust care pathways based on ongoing risk evaluation and patient response. • Applies care management principles to coordinate across levels of care—helping patients transition between acute, ambulatory, and post-acute services while reducing avoidable utilization and supporting timely follow-up. • Collaborates cross-functionally with virtual team members, in-office staff, primary and specialty providers, case managers, and population health teams to align care delivery and ensure continuity. • Anticipates patient needs by reviewing utilization history and care gaps (e.g., overdue screenings, specialty referrals, or medication reconciliation); partners with clinical teams to close those gaps. • Builds and sustains meaningful patient relationships to foster trust, engagement, and accountability in long-term health improvement. • Participates in innovation pilots, Epic workflow testing, and quality improvement initiatives that advance the design and scalability of virtual care models. • Documents all patient interactions, interventions, assessments, and care plan updates accurately and in a timely manner within the electronic health record. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. • Performs all other duties as assigned. Other Related Functions • Troubleshoots device or connectivity issues to ensure uninterrupted biometric data transmission; escalate unresolved technical issues appropriately. • Screens and processes incoming RPM referrals for program eligibility and appropriateness based on diagnosis, risk factors, and provider orders, ensuring timely documentation, patient onboarding, and device setup • Participates in performance improvement projects, chart audits, and clinical reporting for quality assurance and process optimization. • Cross-trained to support TeleCare triage, including after-hours nurse advice, Schmitt-Thompson-based dispositioning, and urgent symptom management. • Maintains clinical and technical competence in remote monitoring equipment, documentation systems, and virtual communication platforms. • Performs all other duties as assigned. Qualifications Education/Training • For Team Members hired into this job prior to January 1, 2020: Graduate of an approved school of nursing. • Bachelor of Science in Nursing degree (BSN). • Based on area of assignment, specialty courses and specialty experience may be required. Must meet unit-specific performance competencies. Licensure/Certification • Maintains current RN license in the State of Florida. • Maintains Multistate Nursing License and is obtained within first 90 days of hire. • Ambulatory Care Nursing Certification (AMB-BC) completion required within 36 months of hire. • Maintains current BLS/Healthcare Provider certification. Experience • Three (3) years of clinical experience in area of specialty or five (5) years of clinical experience when covering multiple specialties/service lines. • Bilingual skills not required but are preferred.

Perform routine histology procedures, communicate with pathologists regarding specimen issues, document quality and tracking of tissues, and ensure compliance with regulatory standards to support accurate diagnosis and laboratory efficiency.

About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We’re looking for a Dispute Resolution Coordinator to support Pivotal’s healthcare dispute resolution workflows, including Independent Dispute Resolution (IDR) processes. In this role, you’ll help manage case submissions, track deadlines, and ensure disputes move through the process accurately across different state arbitration systems. Because each state operates under its own rules and timelines, this role requires strong attention to detail and the ability to manage structured operational workflows. You’ll work closely with internal teams and external partners to keep disputes moving forward while helping build repeatable processes as the program grows. This is a great opportunity for someone early in their career who enjoys organized, process-driven work and wants exposure to healthcare operations and reimbursement systems. What You’ll Do - Support state IDR workflows: Manage dispute submissions, documentation, and case tracking across assigned states while ensuring deadlines and requirements are met. - Monitor arbitration timelines and correspondence: Review inbound communications from health plans, arbitration entities, and internal teams to ensure cases progress through the process correctly. - Maintain operational tracking and documentation: Update internal systems and spreadsheets to maintain accurate case records, dispute statuses, and operational metrics. - Assist with dispute corrections and resubmissions: Identify submission errors or missing documentation and coordinate resubmissions to keep disputes moving forward. - Support operational cleanup work: Assist with refunds, case reconciliation, and other repeatable tasks required to maintain accurate dispute records. - Help establish repeatable workflows: As state processes evolve, contribute to documenting and improving internal workflows that help the team manage disputes more efficiently. Who You Are - 1–3 years of professional experience in an operational, administrative, or healthcare-related environment - Organized and highly detail-oriented, with the ability to follow structured processes - Comfortable working in Excel or Google Sheets to track operational workflows - Strong written communication skills when coordinating with internal teams and external partners - Able to manage multiple tasks, deadlines, and case workflows simultaneously - Dependable and consistent in executing repeatable operational processes - Quick learner who is open to feedback and comfortable adapting as workflows evolve Extra Credit Experience - Experience working in healthcare, insurance, revenue cycle management (RCM), or reimbursement operations - Familiarity with arbitration, dispute resolution, regulatory, or compliance workflows - Exposure to operational tools such as Asana, Metabase, or similar systems Why You’ll Love Working Here We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you. Benefits Include: - Competitive compensation, including equity - Full health, dental, and vision coverage - Retirement savings plan through 401(k) - Flexible time off - Opportunities for company-wide connection and events Ready to Make an Impact? We’re building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.