
Nurse Care Coordinator, RN
Posted Oct 27

Posted Oct 27
This is a fully remote position, open to applicants in California.
• Coordinate, schedule, and adjust clinical appointments within the care team.
• Oversee referrals to specialists and external clinical services.
• Proactively follow up with families to minimize care gaps and reduce no-show rates.
• Facilitate care transitions and ensure continuity among 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 who need escalation of care.
• Deliver evidence-based education to families on managing chronic conditions.
• Clearly explain medication regimens, treatment plans, and care objectives in understandable terms.
• Respond to inquiries from patients and families via messaging and phone promptly.
• Promote health literacy and empower families to be actively involved in their child's care.
• Initiate and manage medication prior authorization requests with insurance providers.
• Communicate with pharmacies to resolve dispensing issues and coordinate medication refills.
• Monitor authorization status and escalate any delays to the relevant clinical team member.
• Maintain precise medication records and document all communications with pharmacies.
• Accurately document clinical interactions in a timely manner across various EHR and care management platforms.
• Participate in interdisciplinary case conferences, team huddles, and quality improvement meetings.
• Report on patient progress and any care gaps to clinical supervisors.
• 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.
• Strong organizational, communication, and interpersonal skills.
• Ability to juggle competing priorities and work collaboratively in a remote, virtual environment.
• Comfort in working with diverse, medically and socially complex pediatric populations.
• Enthusiasm for joining a rapidly growing startup and developing new care models.
• Reliable internet connection and a dedicated workspace suitable for remote work.
• Bilingual English/Spanish preferred.
• Experience in pediatric, chronic care, or care coordination settings preferred.
• Familiarity with prior authorization processes and payer requirements preferred.
• Experience in underserved or urban environments preferred.
• At least 1-2 years of experience as a Nurse Care Coordinator.
• Ability to work full time.
• Experience in an outpatient primary care setting.
• Medical and ancillary benefits.
• Remote-friendly culture.
• Fully remote work arrangement.
• Full-time schedule of 40 hours per week to start.
CVS Health
Symbotic
Humana
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