Hi {{first_name|nurse,}}
This week is not about a scandal. It is about a shift that keeps showing up in your day.
Telehealth.
And yes, telehealth nursing is a real thing. In California, the Board of Registered Nursing has said RN scope includes tele-nursing and telephone triage. A California RN license is required to give telephone medical advice to California addresses.
The Nurse Version of Telehealth
What it is
Telehealth nursing is nursing care delivered through tech. Phone. Video. Messages. Remote monitoring.
What it looks like in real life
This is what counts as “telehealth” for many nurses:
Telephone triage and symptom assessment
Telephonic advice using protocols
Care coordination and follow-up after ED or discharge
Chronic care check-ins (diabetes, BP, CHF, asthma)
Remote patient monitoring support (weights, BP cuffs, glucose, pulse ox)
Utilization management and prior auth clinical review
Behavioral health follow-ups and safety planning check-ins
Why This Matters to You
The work does not vanish. It changes shape.
Telehealth moves nursing work into:
More short encounters that stack up
More assessment with limited data
More patient coaching
More documentation
Your skill set shifts
You lean harder on:
Focused history-taking
Red-flag screening
Protocol-driven triage
Clear escalation steps
Your voice becomes the tool.
How to Explore Telehealth Nursing as a California RN
Step 1: Pick one lane
Do not aim for “anything remote.” Pick a lane and aim on purpose.
Here are common lanes:
Advice nurse / nurse line / telephone triage
Virtual nursing inside hospitals (admissions, discharge teaching, patient education)
Transitions of care (post-discharge outreach)
Remote patient monitoring
Case management / care coordination
Utilization management
Step 2: Build three core skills
Telehealth jobs reward these.
1) Focused assessment. You get to the point fast. You confirm what is missing.
2) Protocol-driven decisions: You follow the pathway. You document the pathway.
3) Tight closing plan: What to do now. What to watch for. When to escalate.
Step 3: Practice a simple call structure
Use this structure even if you are not in a telehealth role yet. It makes your calls safer and cleaner.
Open: safety + callback number
Middle: “What changed today?” + red-flag screen
Close: clear next step + teach-back
Teach-back line: “Tell me what you will do if it gets worse tonight.”
Step 4: Add proof to your resume
Even bedside nurses do telehealth-type work. Name it clearly.
Examples of strong bullets:
Telephone symptom triage using protocols and escalation pathways
Post-discharge follow-up calls with medication reconciliation and return precautions
Patient coaching for home devices (BP cuff, glucose checks, pulse ox)
High-volume patient communication with clear documentation standards
Step 5: Search the right job titles
These keywords get you closer to real telehealth nursing roles:
Telephone Triage RN
Advice Nurse
Nurse Advice Line
Telehealth RN
Virtual RN
Remote Patient Monitoring RN
Care Manager RN
Utilization Management RN
Step 6: Ask the questions that protect you
Remote work can be a great trade. It can also be bedside stress with a headset.
Ask these before you say yes:
What are the metrics (calls per hour, time per call, documentation targets)?
Is charting time paid time, or does it spill after the shift?
What happens when tech issues slow visits or patients need extra help?
Who backs you up on escalations (triage lead, provider on-call, charge RN)?
Which states are the patients in, and which licenses are required?
What equipment is provided (laptop, headset, phone system)?
Is there any stipend for internet or phone use?
Quick Tools You Can Use This Week
Three scripts that keep calls on track
Start: “Are you somewhere private and safe to talk? If we get disconnected, what number should I call back?”
Middle: “What made you reach out today? What is the single biggest change since yesterday?”
Close: “If you have X, do Y right now. If not, here is what we do next and when I want you to check back in.”
Keep a red-flag note open
Make one note for the “stop the call and escalate” symptoms your unit uses. Keep it tied to your protocol.
The Money Angle
Telehealth roles can pay well, or pay less
Some remote roles are a good trade. Some are not.
The difference is usually not “telehealth.” It is the workload model. The metrics. The support on escalations.
Your commute is part of your paycheck
If you remove a long drive, you get time back. That time can turn into rest. Or overtime. Or your life.
Our Final Thoughts
Telehealth nursing is not a side thing. It already sits inside triage, follow-ups, and chronic care.
If you are thinking about a new job, a new city, or a remote role, do not judge it by hourly pay alone. Look at what you keep after taxes, housing, and cost of living.
How Insider Members Spot $100/hour RN Shifts First
A peek at the listings and breakdowns they get weekly
This is just a preview of what Insider members see in their inbox.
Each week, we dig through job boards, hospital portals, and recruiter posts to find RN roles paying around $100/hour with verifiable numbers. Then we run the math for you—rate, blended pay, shift setup, and how likely it is to move fast.
You open one email, scan the table, and decide what’s worth a click.
Here’s a sample from this week’s listings:
Title | Hospital/City | Hrs/Wk | Hourly Rate | LINK |
|---|---|---|---|---|
Supervisor - Telemedicine, Registered Nurse | Rancho Cordova, CA | 40 | $86.81-$113.71 | APPLY |
RN - Manager | Community Medical Centers, Fresno, CA | 36-40 | $77-101 | |
RN | Oakwood Healthcare Services Inc, Fountain Valley, CA | Part-Time | $100 |
👀 Want the full $100/hour board?
Insider gives you early access, pay math you can trust, and recruiter-ready scripts to move fast.
Get every update, every week—before these jobs fill.
Map My Pay Is the Reality Check Your Offer Letter Won’t Give You
Hourly rate is a headline. Your life runs on what is left after taxes, housing, and basic expenses. If you skip that math, you can end up “earning more” while feeling poorer.
Map My Pay breaks down your expected take-home pay before you commit to a contract or a new city. You get clarity fast, without spreadsheets and guesswork.
Use Map My Pay to:
Compare pay outcomes across 1,000+ cities
See the difference rent makes in each market
Filter jobs by shift type and schedule
Find cities with a better pay-to-lifestyle trade
Get nurse-only feedback rooted in real pay data
Before you lock in that next step, open Map My Pay and check the numbers.
Download Map My Pay today.