Empower individuals facing health challenges by providing compassionate, expert-guided care advocacy services. As a Patient Advocate, you will act as a liaison between patients with chronic conditions and the healthcare system, ensuring comprehensive and coordinated care. This role focuses on empowering patients to make informed decisions about their health.

The Registered Nurse, Clinical Delivery will manage the communication of critical and abnormal lab results to patients. This includes contacting patients, documenting communications, following up on lab escalations, and collaborating with providers. This role is also responsible for patient education and serves as a point of escalation for the Member Services team.

As a Utilization Management (UM) Nurse, you will provide UM services, transition of care and support to members and health care providers. You will utilize clinical knowledge and expertise to interpret and appropriately apply medical policy, medical necessity criteria (InterQual), and benefit information to provide consultation and responses to UM requests. You will proactively assess and assist members to help move them through the continuum of care by utilizing services and resources efficiently.