As an Aledade Registered Nurse supporting ACCESS, you'll play a behind-the-scenes but mission-critical role in transforming how we manage chronic disease at scale. ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) is built to close the gap between clinical data and real patient outcomes, and you'll be at the center of that work — reviewing patient charts, verifying eligibility, establishing baseline tracking, and releasing standing lab orders for cardio-kidney-metabolic (CKM) conditions. Your clinical judgment and precision directly shape whether patients get the right diagnostic path at the right time.Primary DutiesClinical CoordinationReview patients entering the ACCESS program using integrated lab data to identify missing baseline tests, verify clinical indications, diagnosis codes, and elapsed time against standing orders for specific tracks (eCKM vs. CKM).Release standing lab orders in the EHR under the Regional ACCESS Director's authority while documenting medical necessity and ordering intent to meet Medicare clinical laboratory billing requirements.Manage daily order queues with speed, precision, and high clinical accuracy to maintain strict turnaround targets and prevent enrollment delays.Continuous Improvement & Program PartnershipAct as a subject matter expert on lab ordering processes and workflows while providing clinical expertise to support the interdisciplinary care team.Proactively identify friction, error-prone steps, and automation opportunities to directly optimize initial operations.Partner and act as a collaborative thought partner with key stakeholders to test workflows, resolve clinical blockers, and drive operational improvements.Other duties as assigned.Minimum QualificationsAssociate Degree in Nursing (ADN) from an accredited nursing program.Minimum of 2 years clinical nursing experience.Active, unrestricted multistate Registered Nurse license through the Nurse Licensure Compact (NLC), with willingness to obtain additional individual state licenses as program needs expand — specifically: California, Alaska, Arkansas, Hawaii, Illinois, Massachusetts, Minnesota, Nevada, New York, and Oregon.Experience with protocol-driven or standing-order work (i.e. Releasing orders, executing physician-delegated tasks, or working from clinical protocols rather than case-by-case).Proven reliability in high-volume, repetitive, and detail-critical work.Ability to review and synthesize patient records, validate lab history, and identify outstanding diagnostic requirements.Working knowledge of common laboratory panels and their clinical indications, including lipid panels, HbA1c, eGFR, and uACR.Proficiency with electronic health records (EHRs) and order entry.Strong attention to detail and documentation, ensuring accuracy for compliance and billing.Ability to adapt and demonstrate resilience in a fast-paced, evolving healthcare setting.Ability to work both independently and as part of a multidisciplinary team.Preferred QualificationsBachelor of Science in Nursing (BSN).Experience in Value Based Care Organizations.Active, unrestricted Registered Nurse (RN) license in Tennessee, New Jersey, Texas, Oregon, Mississippi, Kentucky, or Utah.Experience with athenaOne/Athena EHR.Experience working with diverse and underserved populations.Physical RequirementsProlonged periods of sitting at a desk and working on a computer.Ability to maintain sustained attention and focus during high-volume clinical chart reviews.Who We AreAledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy.If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.What Does This Mean for You?At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:Flexible work schedules and the ability to work remotely are available for many rolesHealth, dental and vision insurance paid up to 80% for employees, dependents and domestic partnersRobust time-off plan (21 days of PTO in your first year)Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parentsSix weeks paid sabbatical after six years of serviceEducational Assistant Program and Clinical Employee Reimbursement Program401(k) with up to 4% matchStock optionsAnd much more!