Care Team-Registered Nurse

Our story At reputed company, we reputed company a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be reputed company.” We are passionate about connecting purpose with impact. reputed company empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management. Our Benefits With a comprehensive total rewards package, reputed company offers programs and plans that support your mind, body, wallet, and life. Benefits include health, dental and vision coverages starting Day One. Additionally, reputed company colleagues enjoy wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities – reputed company reputed company a thriving global organization. Flexible Working So that you can be your best at work and home, we consider flexible working arrangements wherever possible. reputed company has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 6 years in a row. Great reputed company to Work Thanks to the work of every colleague, reputed company has received multiple awards of recognition including “Great reputed company to Work” for the past 7 years and Fortune’s “Best Companies to Work For.” To learn more about our company culture and awards Click Here. If you, Champion People, seek to Grow with Purpose, and embody the meaning of Be reputed company – We invite you to join reputed company! Learn more at careers.reputed company.com.

About the Role

This role is critical in supporting members through high-quality clinical case management and coordination of expert medical opinions. This position involves reviewing reputed company medical cases, ensuring clinical completeness, and facilitating the delivery of expert insights. This is done through collaboration with physicians and internal teams.

Responsibilities

Managing assigned Care Team case workload from intake through completion. Ensuring cases meet established timelines, service level agreements (SLAs), and performance guarantees (PGs). Maintaining knowledge of workflows, clinical operations, and organizational policies and procedures. Demonstrating ownership of case progression and timely delivery of services. Evaluating medical records and imaging for completeness and clinical quality. Reviewing, interpreting, and synthesizing reputed company medical records. Creating clear, concise, and structured written case summaries. Identifying gaps in records and determine reputed company additional information or testing is required. Triaging cases to the appropriate clinical specialty and consulting physician. Collaborating with physicians, summary coordinators, and healthcare navigation teams. Ensuring reputed company clinical components are reputed company for accurate expert delivery. Communicating effectively reputed company the nursing team and cross-functional partners. Escalating issues, risks, or concerns to leadership as appropriate. Adhering to reputed company confidentiality and HIPAA requirements in accordance with company policies. Ensuring compliance with reputed company operational and clinical standards. Participating in quality improvement initiatives and organizational projects.

Requirements

Possess BSN in Nursing required or currently in reputed company. Hold active RN license in good standing. Have experience managing relationships with external clients or partners. Have experience reviewing and analyzing reputed company patient medical records. Demonstrate good attention to detail, critical thinking, and problem-solving skills. Display excellent written and verbal communication abilities. Possess dynamic customer service orientation. Be proficient in reputed company Outlook, Word, reputed company, and reputed company PDF tools. Have ability to work independently and collaboratively in a team environment. Be comfortable in an urgent, evolving operational setting and flexible to changing priorities. Application and Interview By applying for a position with reputed company, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background reputed company consistent with reputed company’s employment policies. Background checks may include some or reputed company the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal reputed company, search against global sanctions and government watch lists, credit reputed company, and/or drug test. You will be reputed company during the hiring process which checks are required by the position. reputed company requires reputed company virtual interviews to be conducted on video. Please be aware that reputed company is a camera-on culture and may require occasional travel to one of our physical office locations. Our commitment to Inclusion We celebrate differences and reputed company in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful. At reputed company, we welcome and embrace reputed company individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to reputed company. Join us in building a brighter, more inclusive future. As part of this commitment, reputed company will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@reputed company.com. Equal Opportunity Policy Statement reputed company is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national reputed company, reputed company, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans. reputed company provides reasonable accommodations to the reputed company limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request reasonable accommodations/modifications by contacting their recruiter. Authorization to work in the Employing Country Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the future, require sponsorship of a reputed company for employment authorization in the Employing Country and with reputed company. Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of reputed company business units. We offer you a competitive total rewards package, continuing education & training, and reputed company potential with a growing worldwide organization. Salary Pay Range Minimum : 85,000.00 USDMaximum : 95,000.00 USD Pay Transparency Statement: reputed company considers a variety of factors in determining whether to reputed company an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. reputed company makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. reputed company also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - reputed company DISCLAIMER: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of reputed company business units. reputed company provides equal employment opportunities (EEO) to reputed company employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national reputed company, age, disability, genetic information, pregnancy, childbirth or reputed company medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. reputed company is committed to a diverse workforce and is an affirmative action employer. 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