Source Job

Texas

  • Administer and interpret assessments and screening tools to prioritize member needs.
  • Lead care plan development and coordination within the multidisciplinary team.
  • Build strong, trusting relationships with members, using listening and empathy as the foundation.

Registered Nurse Care Coordination Assessment Communication Technical Skills

20 jobs similar to Complex Care Navigator Registered Nurse

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Ohio US

  • Facilitate conversations and collaboration between interdisciplinary care teams to ensure a seamless patient experience.
  • Support scheduling, make reminder calls, and handle operational tasks for the care coordination team.
  • Answer patient calls, escalate issues, and request necessary documentation from patients and providers.

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They are a growing company with an interdisciplinary team that fosters an inclusive environment.

US

  • Manage patient physiological markers and provide clinical triage.
  • Conduct wellness calls and collaborate with care teams to set health goals.
  • Drive patient engagement and ensure adherence to RPM program standards.

Vivo Care is building a platform to make healthcare continuous, personal, and truly connected. It is a fast-growing startup with a culture of inclusion, collaboration, and innovation.

US Unlimited PTO

  • Manage the member's clinical experience from request through desired outcome, including account activation and medical history drafting.
  • Coordinate video or phone consults with specialists and schedule monitors in advance, troubleshooting issues as needed.
  • Conduct ongoing follow-up post-consult and facilitate local recommendations, communicating with primary care physicians or specialists.

Transcarent is a health and care platform that combines medical, pharmacy, and point solutions with a generative AI-powered experience for health consumers. With over 1,700 employer and health plan clients serving 21 million Members, they foster a culture of People First, Care, Resilience, Results, and Humble and Human.

$77,000–$92,000/yr
US Unlimited PTO

  • Act as a liaison for a patient panel of medically stable patients, coordinating care between internal and external providers.
  • Monitor and triage lab orders and results, providing education and medical management support to patients and families.
  • Triage emergent issues in a time-sensitive manner and coordinate care with hospitals for medical stabilization admissions.

Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure everyone with an eating disorder can access treatment that works. Founded in 2019, the company is fully virtual and has been recognized as one of the most influential companies of 2023, with a diverse and passionate team.

US

  • Provide case management addressing medical, social, psychological, physical, and spiritual needs of members.
  • Develop, implement, and monitor care plans in collaboration with PCP, caregivers, and team members.
  • Ensure members' needs are met through coordinated care and support.

Elderplan offers Medicare and Medicaid managed care health plans designed to keep members independent and living life on their own terms. As part of MJHS, it is a supportive community committed to excellence, respect, and high-quality personalized health care services.

  • Administer multiple clinical assessments and screening tools to prioritize member needs and coordinate care.
  • Build trusting relationships with members through empathy and consistent engagement, serving as the care quarterback.
  • Utilize electronic systems and collaborate with the interdisciplinary team to optimize the member experience.

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. The company delivers goal-centered care to reduce hospitalizations and improve quality of life, with a dynamic and inclusive team environment.

$85,000–$85,000/yr
US Unlimited PTO

  • Conduct comprehensive clinical assessments and develop individualized care plans for high-risk members.
  • Coordinate transitions of care and collaborate with interdisciplinary team members including Community Health Workers and providers.
  • Provide health coaching and disease management education to help members achieve their health goals.

Zócalo Health is a tech-enabled, community-oriented primary care organization serving historically underserved populations. Founded in 2021 and backed by leading healthcare investors, it is scaling rapidly with a culture focused on value-based, whole-person care.

Unlimited PTO

  • Responsible for using assessment and communication skills to engage patients in need of clinical support, determine priorities, and deliver patient-centered care.
  • Identify patient education needs through telephonic assessment and collaborate with healthcare teams to coordinate care and keep patients stable at home.
  • Serve as point of contact for patients, families, and providers, implementing interventions to improve health outcomes and reduce costs.

Vytalize Health is a value-based healthcare company that coordinates care for patients with chronic conditions, aiming to improve outcomes and lower costs. It is a rapidly growing organization with a startup culture, offering a dynamic environment.

US

  • Provides visionary leadership and strategic direction for care coordination and service delivery teams.
  • Drives transformational initiatives to scale operations, enhance quality, and improve patient outcomes.
  • Uses data analytics and key performance indicators to monitor program effectiveness and guide evidence-based decision-making.

WellSky is a technology company that provides software, analytics, and services for intelligent, coordinated care across health and community care. The company fosters a culture of independent thinking, collaboration, and innovation, with a focus on improving outcomes and lowering costs.

US

  • Provide telephonic and virtual support via inbound/outbound calls, email, chat, and text for patients prescribed complex neurological therapies.
  • Educate patients about treatment/therapy, connect them with resources, and collaborate with Field Nurse Educators and HUB partners to ensure continuity of care.
  • Identify barriers to therapy adherence using motivational interviewing, maintain compliant documentation, and report Adverse Events per policy.

Momentum Life Sciences partners with life science companies to design and deliver patient support programs that help patients start and stay on therapy. With over 30 years in healthcare and a patient engagement platform combining human and digital interventions, they are a leading provider of engagement solutions.

$75,000–$85,000/yr
US

  • Collaborate with primary care providers to coordinate care for patients with multiple chronic conditions, ensuring high-quality care through telephonic and in-person outreach.
  • Conduct transitional care management including post-discharge follow-up and provide education on lifestyle coaching and dietary improvements.
  • Operate independently to achieve goals, attend regular care team meetings, and perform other duties as assigned.

Privia Health is a technology-driven national physician enablement company that collaborates with medical groups and health systems to optimize practices and improve patient care. The company is led by top industry talent and focuses on scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.

Texas

  • Provide remote supervision over a group of RNs, performing chart audits and reviewing policy adherence.
  • Assess and document new patient health status and assist with annual staff reviews including competency assessments.
  • Communicate openly with referring providers for order clarification, patient status, and care plans while working remotely in Texas.

Local Infusion is the fastest growing infusion provider in the United States, transforming specialty infusion care with patient-centered services and AI-driven technology. It is a respectful, upbeat, remote-first team united by a mission to improve outcomes for patients, clinicians, health plans, and pharma.

US

  • Serve as the main point of contact for patients and families transitioning from or seeking post-acute services.
  • Make clinical level-of-care determinations using discussions, medical records, and other clinical data.
  • Provide patient education on home health, hospice, palliative care, Medicare coverage, and billing.

Gentiva is a national leader in hospice, palliative, and home health care, providing compassionate care to patients in their homes. With nearly 600 locations and thousands of clinicians across 38 states, they offer a collaborative environment where inspiring achievements are recognized.

$34–$34/hr
US

  • Provide telephonic triage assessments and health education using nursing protocols and algorithms.
  • Utilize critical thinking and communication skills to manage diverse patient populations.
  • Work a flexible schedule that includes evenings and weekend shifts from your home office.

Carenet Health provides telephonic clinical assessments, health education, and utilization management services to patients and members. They are a growing organization with a collaborative national team of Registered Nurses, offering work-from-home options and a supportive culture.

$80,000–$85,000/yr
USA Unlimited PTO 16w maternity 8w paternity

  • Oversee clinical enrollment for members, guiding them through protocols and eligibility for the most appropriate program.
  • Collaborate with a cross-functional team of nurses, health coaches, and providers to ensure a seamless member experience.
  • Utilize nursing judgment, motivational interviewing, and data tools to drive behavior change and improve health outcomes.

Twin Health is the only company applying AI Digital Twin technology to prevent and improve chronic metabolic diseases like type 2 diabetes and obesity. With more than $100 million raised and over 100 employees, Twin has been recognized as an Innovator of the Year and a Most Loved Workplace, backed by leading venture firms.

5w PTO

  • Assess and review individual care packages, providing practical training and clinical supervision to care workers.
  • Work across community settings including homes, schools, and day centres, coordinating with ICBs and NHS hospitals.
  • Manage your own diary, with no bank holidays, weekends, or night shifts, ensuring work-life balance.

CCH Group is the largest provider of healthcare services in the UK, delivering bespoke care to adults and children with complex conditions. As a large organization, they prioritize a 'People First' culture and offer career development opportunities.

US

  • Perform psychosocial assessments, develop care plans, and provide clinical counseling and therapeutic interventions.
  • Collaborate with patients, families, and healthcare teams to coordinate care and connect to community resources.
  • Facilitate transition planning, behavioral health support, and advanced care planning discussions.

Intermountain Health is a nonprofit health system with 34 hospitals, 400+ clinics, and over 4,800 employed physicians. The organization focuses on clinical quality improvement and efficient healthcare delivery, supporting caregivers with benefits and career development.

US

  • Perform case reviews and process requests for elective services and durable medical equipment.
  • Collaborate with physicians, vendors, and providers to ensure regulatory compliance and timely service.
  • Provide high-quality customer service to members and healthcare professionals.

Elderplan provides Medicare and Medicaid managed care health plans designed to help people stay independent. They are part of MJHS, a supportive community committed to excellence, respect, and collaboration.

US

  • Prepares patients for exams, administers medications, and assists with procedures in a physician office setting.
  • Coordinates care across settings, ensures labs and referrals are completed, and provides patient education.
  • Requires graduation from an accredited nursing program, RN licensure in Pennsylvania, and BLS certification.

Lehigh Valley Health Network is a nationally recognized health network with hospitals in Pennsylvania, ranked among the best by U.S. News. It employs nearly 20,000 healthcare professionals and is a Great Place to Work certified organization.

United States 4w PTO

  • Provide professional and friendly proactive care and triage for clinical issues.
  • Perform comprehensive assessments and establish clinical milestones and goals.
  • Document all care management assessments and interventions.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group providing 24/7 virtual and in-home care for children with special health care needs. They are guided by five core values and offer a comprehensive benefits package.