Nurse Care Navigator - remote

Title: Nurse Care Navigator

Location: Remote

Type: Full-time

Category: Operations

Job Description:

Sana’s vision is to make healthcare easy.

All of us can agree healthcare is simply too hard in the US. And our members feel that pain day in and day out. We aim to create an experience that simply feels easy when you need to access our healthcare system. If you need something, you know where to go to get it with care that is a click (or as few clicks as possible!) away.

What’s beautiful about a vision oriented toward “easy”is how it imparts a singular feeling. We instinctively know as humans when something is easy versus hard, even if we can’t explain why. We fight as a company to make an easy pathway available to all our members at every stage of their healthcare journey. If you feel passionate about delivering better healthcare to small businesses through a seamless care experience and affordable benefits, join us!

We are looking for a hard-working, empathetic person to join our Case Management team. We’re building a team of nurses to guide our members with complex and chronic care needs through the complicated healthcare system to ensure they receive the right care, in the right setting, at the right time. This is a remote position, but we do require that you have unencumbered licensure as a Registered Nurse in Texas, and are eligible for licensure in any US state.What you will do

• • Provide clinical navigation support for our internal health plan team to include but not limited to: condition education, care options, and planning, care compliance, medication adherence, shared decision support, and care coordination
  • Proactive outreach engagement of high-risk, rising-risk, and gap-in-care members to help them best navigate their healthcare journey
  • Manage the partnership with our external UM and RN Case Managers to ensure high quality, prompt utilization review, successful case management engagement, and high-value care navigation
  • Act in the best interest of the member by being a health advocate and supporter in the member’s healthcare journey
  • Build relationships with clinical contacts at Sana’s partners to provide streamlined referral pathways for care navigation
  • Assist with all post-op coordination of care and member support for patients who utilize our surgical care partners
  • Help identify provider contracting opportunities for network development to improve member access
  • Monitor and evaluate the effectiveness of care navigation and adjust as necessary utilizing clinical knowledge, evidence-based guidelines, and operational key performance indicators.
  • Collaborate cross-functionally with Underwriting and Claims Operations to offer a clinical perspective on certain high-cost claimants.About you
    • • Bachelor’s degree in a health-related field with at least 3 years of clinical experience. Case management or clinical care navigation experience preferred
      • Active and unencumbered licensure as a Registered Nurse in Texas. A compact license is preferred. Eligibility for licensure in any US state.
      • Experienced in remote work
      • Excellent clinical, organizational and communication skills
      • Entrepreneurial. Self-directed. Excited to build something from scratch
      • Values-oriented. You care about making our healthcare system work better for people and business owners
      • Gritty. You aren’t worried about getting your hands dirty and working hard when you need to
      • Comfortable with change. We are a startup and need people who are ok doing things outside of their traditional job description
      • Comfortable with modern web applications. We are building all of our software in-house and you will be a key constituent in its development

        $80,000 –$85,000 a year

        Our cash compensation amount for this role is targeted at $80,000 –$85,000 per year for all US-based remote locations. Final offer amounts are determined by multiple factors including candidate experience and expertise and may vary from the amounts listed above.

        Sana is a modern health plan solution for small and medium businesses. We use a more efficient financing structure and integrated technology solutions to cut out wasteful spending and get members access to better quality care at lower costs. Founded in 2017, we are an experienced team of engineers, designers, and health system operators. We have the financial backing of Silicon Valley venture firms and innovative reinsurance partners. If you are excited about building something new and being a part of fixing our broken healthcare system from the inside, please reach out!