Senior Remote Device Associate

The Senior Remote Device Associate is responsible for routine functioning of the Remote Cardiac Device Monitoring Program, including analyzing rhythms, determining actionable alerts, enrolling patients, scheduling transmissions, reporting results to physicians and advanced practice staff, as well as billing for services and follow up on failed transmissions and non-compliance. Incumbent uses clinical judgment within scope to prioritize device alerts and abnormal transmissions per established policies and protocols and notifies physician or non-physician practitioners of urgent issues requiring further attention. Integrates a knowledge base from physiology, pathophysiology, and cardiac device function to perform competent evaluations, diagnostic review, and assists the Electrophysiology team and their clinical manager/ practice manager in supporting the delivery of highest quality care. Incumbent is responsible for managing all office functions related to the above, plus personal interaction with patients in clinic and via phone/email to demonstrate, teach and troubleshoot.

Incumbent is responsible to promote organizational values of service excellence by demonstrating courtesy and respect for patients and their families, visitors, and other employees., * Evaluate implantable loop recorder alerts and scheduled transmission; escalate to provider.

• Analyze rhythm, begin report and send to appropriate provider for feedback.
• Determine actionable alerts for ILRs, pacers and ICDs and communicate to EP team.
• Arrange device clinic visits for patients with abnormal device function.
• Serve as a resource and mentor to Remote Device Associates.
• Retrieves orders from providers, calls patients to confirm enrollment and assures that monitors are sent. Instructs patient to call the office when monitor is received and facilitates setup and successful transmission.
• Enrollment, scheduling, processing transmissions:
• Enrolls patient within 1 weeks' time in the appropriate Remote system, orders monitor to be sent as needed.
• Schedules pacer/ICD patients for automatic transmissions every 91 days, and loop recorder patients per current policy.
• Checks each remote monitoring site EVERY DAY (Mon-Fri) whether patients are scheduled to transmit or not to ensure no alerts occurred. Alerts are scanned to PennChart with telephone encounter message routed to the AP for the attending's service (and alternate APs if primary is off), and the remote team.
• If alert is urgent such as continued recurrent shocks or notices sustained VT, the associate contacts the covering AP in the office asap.
• Scans scheduled transmissions into PennChart within 2 days for physician review.
• Creates encounter in PennChart under patient's EP MD correlating with day of transmission.
• Completes billing utilizing EP office visit smartset.
• Completes/updates Device Questionnaire in EPIC.
• Completes remote transmission letter and sends to patient - utilizes My Penn Medicine when possible.
• Ensures patient has been seen in the office within the last year. If not seen within past year sends telephone encounter to Physician team including AA, AP, and MD.
• Follows established Protocol for patients with missed transmissions/ noncompliance.

Follow up on Missed Transmissions

• All device company sites should have few to zero missed transmissions.
• If missed transmissions are noted, associate contacts patient to ensure home monitor is plugged in and guides patient to send transmission. Calls placed to patient should be entered into PennChart and a follow up transmission should be scheduled in remote monitoring site.
• Completes remote transmission letter and sends to patient - utilizes My Penn Medicine when possible.
• If patient misses 2 transmissions compliance letter is to be sent to patient and a message entered in PennChart with cc to Provider team including AA, MD, and AP.
• If patient does not respond or send transmissions for 1 year, they will receive a final certified letter and is subject to disenrollment from HUP remote monitoring department per policy., * Reports promptly when called to clinic to meet with patients in order to teach, demonstrate and answer questions related to all types of remote monitoring modalities. May also perform these duties via telephone encounters or MPM within EMR, if applicable.
• Where applicable, may check demo home monitoring equipment to ensure that it is in proper working order.
• Reports broken equipment to supervisor.
• Gives clear explanations to patients regarding remote monitoring processes and expectations for compliance.
• Provides patients with follow up instructions and clinic contact information in clinic or in EMR.
• Complies with yearly education requirements (i.e., HIPAA, OSHA, Safety, CLIA).

• H.S. Diploma/GED and 5 years of experience in a patient care setting required. Must have understanding of medical terminology, cardiac anatomy and pacemaker/ ICD / loop recorder function. Good understanding of cardiac rhythm disorders (Required)
• 2 years Cardiac Device Training Schools or CRM/EP Educational Institutes (Preferred)
• Associate's Degree and experience with direct patient care (Preferred)
• Bachelor's Degree and 2 years Must have understanding of medical terminology, cardiac anatomy and pacemaker/ ICD / loop recorder function. Good understanding of cardiac rhythm disorders required (Preferred)

Licenses, Registrations, and Certifications

• Current / active International Board of Heart Rhythm Examiners (IBHRE) Cardiovascular Device Remote Monitoring Specialist (CDRMS) certification OR obtain within 12 months of hire (Required)
• Current /active Certified Rhythm Analysis Technician (CRAT) certification (Required)
• CPR certification eligible

Skills & Abilities:

• Must be proficient with computers including the use of Word, Outlook, Excel, Internet Explorer.
• Must be experienced with web-based medical applications and be responsible for accurate data entry.
• Must have excellent reasoning and computation skills required to enroll and schedule patients in monitoring programs, troubleshoot problems, and enter information accurately and completely in the electronic medical record.
• Must have experience and be comfortable interacting with patients in clinic setting to demonstrate, instruct and answer questions regarding the various remote transmission modalities.
• Must be proficient with email communication and other electronic communication to patients, such as MyPennMedicine.

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?, We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.