Nurse Care Coordinator, RN

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

📋 Description

• Oversee the coordination, scheduling, and rescheduling of clinical appointments throughout the care team.

• Manage referrals to specialists and external clinical services effectively.

• 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 as needed.

• Coordinate lab work and documentation requirements with referring providers.

• Assist providers in managing patients who require escalation of care.

• Deliver evidence-based education to families about chronic condition management.

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

• Address patient and family inquiries through messaging and phone communication.

• Promote health literacy and empower families to actively participate in their child's care.

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

• Communicate with pharmacies to resolve dispensing issues and facilitate refills.

• Track authorization statuses and escalate any delays appropriately.

• Maintain precise medication records and document pharmacy communications meticulously.

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

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

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

• Collaborate with physicians, advanced practice providers, psychologists, and therapists as part of the interdisciplinary care team.

⛳️ Requirements

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

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

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

• Strong organizational, communication, and interpersonal abilities.

• Capability to manage competing priorities and work collaboratively in a remote, virtual setting.

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

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

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

• A minimum of 1–2 years of experience as a Nurse Care Coordinator.

• Preferred: Bilingual in English and Spanish.

• Preferred: Experience in pediatric, chronic care, or care coordination environments.

• Preferred: Familiarity with prior authorization processes and payer requirements.

• Preferred: Experience working in underserved or urban settings.

• Availability to work Monday–Thursday, 8 AM–5 PM PT, plus Saturday, 6 AM–3 PM PT.

• Ability to commit to full-time work.

• Experience in an outpatient primary care setting.

🏝️ Benefits

• Comprehensive medical and ancillary benefits.

• Culture that supports remote work.

• Fully remote work arrangement available.

• Full-time schedule of 40 hours per week to begin.