- Remote, United States
- Remote
- Full-time · Mid
- 3–5 years
Registered Nurse role to deliver high-quality, member-centered clinical advocacy while meeting service, quality, and case management standards.
Responsibilities
- Receive inbound member calls related to a wide range of healthcare issues (e.g., infertility, chronic disease, medications, diagnoses)
- Assess needs and determine the best course of action while adhering to established policies, procedures, and performance indicators (KPIs)
- Take ownership of member cases by going beyond the initial request and encouraging continued engagement
- Educate members on their medical conditions, diagnostic testing, test results, and available treatment options
- Explain complex medical and benefit-related information clearly and compassionately
Requirements
- BSN
- RN degree
- Nice to have: Behavioral experience
- Nice to have: Mental health experience