Registered Nurse - Alerts - Nights

We're hiring a Registered Nurse to own after-hours patient monitoring, triage, and clinical escalation for Cadence's chronic care population. This is a high-stakes, independent clinical role operating when primary care offices are closed - covering the hours when patients with hypertension, heart failure, and diabetes need a skilled clinician to respond, not a voicemail. You will work directly with patients and the Cadence care team to ensure continuity of care and clinical safety across every after-hours interaction.

Available schedule: Thursday, Friday, Saturday, and every other Wednesday, 7:00 PM - 7:00 AM ET.

• →Triage inbound patient calls and alerts using standardized clinical protocols (including Schmitt-Thompson telephonic triage guidelines), escalating appropriately from after-hours clinic referrals to emergency dispatch when clinical status requires it.
• →Monitor patient vitals, symptoms, and labs in real time to identify patients requiring clinical intervention and execute the appropriate escalation pathway within established care guardrails.
• →Follow up with patients presenting abnormal readings to gather clinical history, assess acuity, and triage to the correct level of care.
• →Document patient case notes in the Cadence platform and log follow-up tasks in ZenDesk to ensure the full care team has a complete clinical record for every after-hours interaction.
• →Respond to inbound patient questions and clinical escalations by phone and text message, maintaining the continuity and trust that define the Cadence care relationship.
• →Conduct outreach to patients with lapses in vital sign adherence and support rescheduling for patients who have missed follow-up touchpoints.
• →Uphold clinical care standards in every patient interaction, reflecting Cadence's commitment to the experience goals of health system partners and the well-being of each patient served.

• Active RN compact (multi-state) licensure required.
• 4+ years of clinical experience treating patients with CHF, hypertension, and diabetes in an inpatient or outpatient setting.
• Experience in a CHF bridge clinic or equivalent high-acuity chronic disease management environment.
• Experience with remote patient monitoring technology and the ability to interpret continuous vital sign data in a clinical context.
• Demonstrated ability to conduct independent clinical triage and make sound escalation decisions without in-person oversight.
• Fluency with AI-assisted clinical tools (such as Gemini, Open Evidence, or comparable platforms) and the ability to speak credibly with providers and patients about where AI supports care delivery and where human judgment remains non-negotiable.