Skill Checklists
Remote RN
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
Active RN License in Required State(s)
Compact License (if applicable)
Minimum of 2 Years of Clinical Nursing Experience
Experience in Telehealth or Remote Nursing
Proficiency in Electronic Health Records (EHR) Systems
Strong Written and Verbal Communication Skills
Comfortable Using Telehealth Platforms & Video Calls
Ability to Troubleshoot Basic Technical Issues
Ability to Conduct Virtual Patient Assessments
Experience with Remote Patient Monitoring (RPM) Devices
Understanding of HIPAA & Patient Confidentiality
Ability to Provide Patient Education & Counseling Remotely
Quiet & Professional Home Office Setup
Reliable High-Speed Internet & Secure Connection
Flexible to Work Various Shifts as Needed
Self-Motivated & Able to Work Independently
BLS/ACLS Certification
Certified Telehealth Nurse (CTN) or Equivalent
Other Specialized Certifications:
I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.
