This paper reviews the role of predominantly nurse-led, multidisciplinary, chronic heart failure management programs as part of the gold-standard management of patients discharged from hospital with this syndrome. It discusses the various options for applying these evidence-based programs and how they apply to the management of those living in rural/remote Australia. Specifically, it describes the challenges of applying CHF management in remote settings and how face-to-face, family based programs of care might be particularly effective from an Indigenous perspective. Finally, it describes ongoing research to determine the best approach to CHF management in remote settings.