Telehealth Nurse Career Overview

NurseJournal Staff
By
Updated on November 6, 2025
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    How Long to Become

    2-4 Years

    Average Annual Salary

    $86,253

    Job Outlook (2024-2034)

    5% Growth for all RNs

    Telehealth Nurse Career in Brief

    Telenursing jobs may include monitoring patient health remotely or providing care for patients during video, phone, and chat visits. Telehealth nurses work under the supervision of physicians or nurse practitioners and may oversee nursing assistants.

    adn or bsn required
    certification options

    Telenursing Responsibilities

    • Monitoring vital signs or medical data such as blood pressure
    • Communicating with patients through phone calls, online chats, or video conferencing
    • Recognizing when to advise a patient to visit a care site

    Career Traits

    • Empathy
    • Online communication skills
    • Attention to detail
    • Technical adeptness

    Where Do Telehealth Nurses Work?

    Telehealth nurses generally work from hospitals, physician practices, or other healthcare sites, though a growing number work from home. Technology enables telehealth nurses to provide care for patients in rural locations, recovering at home, or who otherwise need care but could be treated at home depending on symptoms.

    Virtual Visits

    Usually conducted over video, virtual visits with a telehealth nurse might involve telephone calls or live chat. They may be either follow ups to on-site visits or a preliminary step to see if an in-person visit is necessary.

    Chat-Based Interactions

    Patients and nurses can use chat technology for both synchronous and asynchronous communications, including sending health information to telehealth nurses and other healthcare professionals.

    Remote Patient Monitoring

    Remote patient monitoring allows telehealth nurses and other clinicians to obtain data about a patient’s condition through sensors, monitors, or other healthcare apps.

    Why Become a Telehealth Nurse?

    Advantages

    • check-circle Opportunity to serve patients who otherwise wouldn’t have easy access to care, such as those with physical mobility issues or in rural locales.
    • check-circle Less risk of disease transmission for nurses and patients and less need for PPE.
    • check-circle Virtual monitoring is more cost effective than in-patient monitoring.
    • check-circle Better client experience for patients who find waiting at home less frustrating than waiting on site.

    Disadvantages

    • x-circle Limits to what care telehealth nurses can provide (patients still have to go to a care site for most diagnostic testing or imaging).
    • x-circle With more communications, health records, and data conducted and stored online, the greater the chance of cyberattacks, patient privacy violations, and subsequent heavy fines.
    • x-circle Insurance may not cover all telenursing services or charge different rates for telehealth services.
    • x-circle Online communication challenges, including interpersonal factors and technology requirements such as adequate bandwidth.

    How To Become a Telehealth Nurse

    1. 1

      Graduate with a bachelor of science in nursing (BSN) or an associate degree in nursing (ADN)

      A BSN takes four years to complete while an ADN typically takes two, but employers often prefer candidates who hold a BSN. For those candidates interested in becoming a nurse practitioner, a BSN is a requirement.

    2. 2

      Pass NCLEX exam to receive an RN license

      The multiple choice exam, which takes up to six hours, includes questions on conditions, treatments, patient interactions, and the legal and ethical aspects of nursing.

    3. 3

      Gain required nursing experience

      There are no standardized telehealth nursing requirements, but telehealth nursing calls for exceptionally strong patient communications and honed observation skills. Most employers require several years of bedside experience for telehealth nurses.

    4. 4

      Earn your certification by passing the ambulatory care nursing certification exam

      While telehealth nursing does not require a specific certification at this time, many telehealth nurses earn an ambulatory care nursing certification, which covers treatment outside healthcare settings, such as in patients homes.

    Learn more about how to become a telehealth nurse.

    How Much Do Telehealth Nurses Make?

    Telehealth nursing jobs offer generous compensation, above the United States average for all jobs. According to PayScale, telehealth nurses make an annual average of $86,253. Meanwhile, registered nurses (RNs) make a median annual wage of $93,600, according to the BLS. In 2024, the highest paid 10% of RNs earned more than $135,320.

    Primarily due to the growing need for healthcare for the aging population, jobs for RNs are projected to grow faster than average, with a BLS projected increase of 5% between 2024 and 2034. Telenursing jobs will likely make up a significant proportion of this growth; technology makes it easier to provide necessary ongoing monitoring, such as for blood pressure levels, and to provide care for patients with mobility issues that make it difficult for them to visit a care site.

    Professional Organizations for Telehealth Nurse

    • American Telemedicine Association

      The American Telemedicine Association engages in advocacy for telemedicine in healthcare policy; monitors technical and clinical updates; conducts benchmarking; and supplies information to its members. Membership is open to organizations involved in telemedicine, such as healthcare providers, health plans, technology organizations, and alliances.
    • International Society for Telemedicine & eHealth

      The International Society for Telemedicine & eHealths mission is to promote best telemedicine practices and foster international dissemination of knowledge. It acts primarily as an umbrella organization for national societies of telemedicine and works with the World Health Organization and International Telecommunication Union. Membership is open to organizations and individuals.
    • American Academy of Ambulatory Care Nursing

      AAACN provides resources for RNs in any ambulatory care setting, including telehealth nurses. It offers ambulatory nursing certification, professional development and continuing education, and publications. Full membership is open to RNs, and AAACN also offers affiliate or student nonvoting memberships.

    Frequently Asked Questions About Telehealth Nurses

    Telemedicine, the diagnosis and treatment of health conditions from a remote location, is one part of telehealth. However, only physicians and nurse practitioners can perform telemedicine (diagnosis and treatment). Nurses are authorized to perform telehealth which includes education, monitoring, and triage from a remote location.

    Reviewed by:

    Elizabeth Clarke, FNP, MSN, RN, MSSW

    Elizabeth Clarke (Poon) is a board-certified family nurse practitioner who provides primary and urgent care to pediatric populations. She earned a BSN and MSN from the University of Miami.

    Clarke is a paid member of our Healthcare Review Partner Network. Learn more about our review partners.