Who are the Nurse Coaches?
RCP Nurse coaches
Nurses play a crucial role in managing CCM or RPM programs by helping to improve patient outcomes, increasing patient engagement, and improving communication and care coordination.
Improved Patient Outcomes:
Nurses and clinicians monitor patients' health data in real-time, allowing for early intervention and treatment. This can result in more efficient and effective care, which can help improve patient outcomes and reduce the risk of adverse events.
Personalized and Targeted Care:
Our nurse coaches and clinicians provide personalized and targeted patient care by using a patient's health data to develop care plans tailored to the individual's needs, preferences, and health status.
Nurses are skilled at building relationships with patients and engaging them in their own care. By managing a CCM or RPM program, nurses can empower patients to take an active role in their health, leading to better self-management and adherence to treatment plans.
Enhanced Care Coordination:
Nurse coaches focus on continuity of care and can help improve care coordination between healthcare providers. Nurses can share patient data and communicate more efficiently with other members of the healthcare team, ensuring that patients receive the best possible care.
Nurse Coaches Are The Heart of the program
Each and every patient receives quality care when enrolled in a care management program, and they receive monthly (at mimimum) interaction with a registered nurse. Care activities include reviewing RPM readings, identifying vital sign trends, reviewing EMR notes plus medications, sending surveys and patient-tailored educational material. In addition, RCP nurse coaches regularly make outreach calls, field calls and questions from patients, update treatment plans, assist patients in referrals, durable medical equipment, community resources, and transportation. When necessary, they escalate care concerns for medical management in the practice EMR with clear and concise documentation.
RCP Nurse coaches are supported by a team
The nurses interact and communicate with a number of different members of the care team including a patient's primary provider & their office staff, specialty providers, pharmacies, DME companies, and SDOH (social determinants of health) resources. Recognizing that healthcare emcompasses more than just physicial well-being, nurse coaches also address the socioeconomic factors that can affect a patient's health outcomes.
Our nurses also promote wellness and prevention of future illnesses. They provide guidance and education on healthy lifestyle choices , preventive screenings, immunizations, and other measures that improve long term health. They educate not only the patients but also their families/caregivers when needed.