Nurse, Care Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Deliver proactive utilization management services for Teladoc Health members with high-risk needs, inappropriate urgent or emergent care utilization, and/or complex medication requirements.

• Provide exceptional customer service to members, providers, care team members, and external facilities via written, phone, and video communication.

• Collaborate with external health plan risk teams to review member cases and offer guidance, direction, and support.

• Meet with members and patient navigators following primary care appointments to review and update care plans.

• Maintain and secure patient documentation within external referral and care coordination systems.

• Handle referrals and prior authorizations efficiently.

• Oversee daily assignments to achieve department-specific performance metrics.

• Conduct intake assessments, coordinate treatment plans, and reassess services as needed.

• Facilitate high-value, in-network care to enhance health outcomes.

• Assess member eligibility and refer members to relevant support services.

• Analyze and interpret clinical data to identify high-risk members and implement actionable goals.

• Evaluate complex clinical situations and propose effective solutions.

• Execute medication reconciliation as part of the care process.

⛳️ Requirements

• Must possess an active RN, BSN or MSN, NP license in good standing.

• 1-3 years of clinical experience required.

• Experience in customer service within a healthcare setting is necessary.

• Capability to work independently as well as collaboratively within a high-performing team.

• Ability to follow work instructions while maintaining departmental productivity standards.

• Exceptional customer service skills are essential.

• Strong data analysis and clinical assessment capabilities are required.

• Excellent communication skills, both written and verbal, are necessary.

• Strong time management and organizational abilities are a must.

• Ability to juggle multiple, competing priorities effectively.

• High level of computer literacy and proficiency in managing various systems, including Microsoft software.

• Willingness to learn new procedures and adapt to changes in a fast-paced work environment.

• Must be authorized to work in the United States without visa sponsorship, now or in the future.

• Certification as a Case Manager is preferred.

• Prior experience in care coordination is preferred.

• Virtual work experience is preferred.

• Bilingual (English/Spanish) skills are a plus.

🏝️ Benefits

• Eligibility for performance bonuses.

• Flexible vacation policy.

• 80 hours of Paid Sick, Safe, and Caregiver Leave annually.

• Comprehensive benefits program for employees and their families, subject to eligibility requirements.

• Opportunities for career growth and development.

• Inclusive workplace and community environment.

• Innovative company culture.

• Access to candidate resources and recruiter support.