Remote RN, Lead
upperlinehealth
Nashville, TN, USA
Posted on Apr 22, 2026
The Remote RN Lead is a working RN who completes standard Remote RN clinical duties while providing administrative and operational leadership support to the RN team. This role maintains a 50% clinical workload and 50% administrative/managerial responsibilities, with a focus on onboarding, timekeeping, PTO management, and daily team support. This position does not replace the Managers' role but supports team efficiency and consistency.
Clinical Responsibilities (50%)
- Performs all duties outlined in the Remote RN Job Description
- Carries an assigned clinical workload with productivity expectations adjusted for lead responsibilities
- Functions as a clinical resource for Remote RNs
- Assists with complex or escalated patient cases as needed
- Models documentation, communication, and workflow expectations
Administrative / Lead Responsibilities (50%)
Onboarding
- Responsible for creating, updating, and delivering training on new workflow implementations to ensure team efficiency and compliance.
- Coordinate and support onboarding for new Remote RNs
- Ensure onboarding tasks, access, and required training are completed
Timekeeping
- Track attendance concerns and escalate to leadership as needed
Daily Team Support
- Serve as first point of contact for RN operational questions
- Assist with daily staffing coordination and workload balancing
- Reinforce workflows, documentation standards, and policies
- Identify operational issues and communicate trends to leadership
- Conduct weekly or monthly one-on-one check-ins with Remote RNs focused on support, communication, and workflow alignment; escalate trends or concerns to leadership as appropriate
What You'll Do
- Telephonic care management with patients and their families, including triaging incoming calls and addressing and escalating urgent patient issues, as well as making proactive outgoing calls as requested by Upperline’s Providers.
- Provide chronic care management and transitional care management outreach, assessment and intervention to assess, identify and close clinical and non-clinical gaps in patient care.
- Appropriate triage and escalation of routine, urgent and emergent patient issues.
- Clinical care coordination with other providers and specialists, including:
- Upperline clinic, telephonic, and home-based visit coordination
- PCP or specialist office visit appointment coordination
- Initiating clinical service orders on behalf of the patient
- Initiating health plan authorization for Home Health, DME, Home Infusion and other critical services. Verifying the timely delivery of these services.
- Medication reconciliation and management to include the following, prescription updates and refill requests, identifying potential medication issues, answering patient questions on side effects and medication conflicts, and coordinating refills in coordination with Upperline Pharmacy team.
- Assist Upperline providers in managing their calendars when needed to manage urgent and emergent visit needs in collaboration with Care Coordinators.
- Various clinical and administrative tasks.
- Potentially participation in weekly interdisciplinary team meetings and clinical huddles.
- Other related duties as deemed necessary by Upperline Health
Qualifications
- Active, unrestricted compact RN license
- Minimum of 3 years RN experience
- Prior care management, case management, or remote RN experience preferred
- Demonstrated organization, reliability, and accountability
- Informal leadership, preceptor, or coordination experience preferred
Role Clarification
- This role is a lead position, not a disciplinary or performance management role
- Employee coaching, corrective action, and evaluations remain with leadership
- Clinical and administrative time expectations may flex based on team needs
