Nurse Care Coordinator, RN

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

📋 Description

• Coordinate, arrange, and adjust clinical appointments across the care team.

• Oversee referrals to specialists and external clinical services.

• Actively follow up with families to minimize care gaps and reduce no-show rates.

• Facilitate care transitions and ensure continuity within the interdisciplinary team.

• Provide clinical updates to referring physicians.

• Organize lab work and documentation requirements for treatment planning with referring providers.

• Assist providers for patients needing escalation of care.

• Deliver evidence-based education to families regarding the management of chronic conditions.

• Clarify medication regimens, treatment plans, and care objectives in understandable terms.

• Address patient and family inquiries via messaging and phone promptly.

• Promote health literacy and empower families to take an active role in their child's care.

• Initiate and manage medication prior authorization requests with insurance payers.

• Communicate with pharmacies to address dispensing issues and coordinate refills.

• Monitor authorization status and escalate any delays to the relevant clinical team member.

• Maintain precise medication records and document pharmacy communications.

• Record clinical interactions across various EHR and care management systems.

• Engage in interdisciplinary case conferences, team huddles, and quality improvement meetings.

• Report on patient progress and care gaps to clinical supervisors.

• Identify workflow inefficiencies and contribute to solutions for process improvement.

⛳️ Requirements

• Active California Registered Nurse (RN) license in good standing.

• Associate's, Bachelor's, or Master's degree in Nursing accepted.

• Proven proficiency with various technology platforms and electronic health record (EHR) systems.

• Excellent organizational, communication, and interpersonal skills.

• Capability to manage competing priorities and collaborate effectively in a remote, virtual environment.

• Comfort in working with diverse, medically and socially complex pediatric populations.

• Enthusiasm for joining a rapidly growing startup and innovating new care models.

• Reliable internet connection and a dedicated workspace suitable for remote work.

• Bilingual in English and Spanish preferred.

• Experience in pediatric, chronic care, or care coordination settings preferred.

• Familiarity with prior authorization processes and payer requirements preferred.

• Experience working in underserved or urban environments preferred.

• At least 1–2 years of experience as a Nurse Care Coordinator.

🏝️ Benefits

• Medical and ancillary benefits.

• Remote-friendly culture.

• Fully remote position.

• Occasional Saturday coverage scheduled in advance.