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Nurse Navigator (RN or LVN)- Hybrid role

World Class Health
locationSan Jose, CA, USA
PublishedPublished: 6/14/2022
Healthcare

Job Description

Company: World Class Health (WCH)

Location: Hybrid- Bay Area- flexible hours in the am to cover EST periodically

Reports to: SVP of Operations

Compensation: 110-120k based on experience


We are a global Center of Excellence network helping self-insured employers save up to 50% on surgical and specialty care. By partnering with a hand-selected U.S. and international provider network, we deliver superior outcomes, predictably lower costs, and an elevated patient journey through rigorous quality standards, upfront bundled pricing, and medically-led navigation.


Role Summary


You’ll coordinate end-to-end episodes of care—primarily surgical—for employees and dependents traveling to our Centers of Excellence (COEs) worldwide. You’ll deliver remote case management (pre-op through post-op), keep patients and stakeholders informed, and ensure safe transitions of care. As an early team member, you’ll also contribute to the clinical operating system of a fast-moving startup.


What You’ll Do


Patient Care & Case Management

  • Manage a caseload of surgical patients from inquiry through post op recovery.
  • Obtain health histories from patients and required medical records from provider offices for review and submission to appropriate specialist(s) for consultation and treatment recommendation.
  • Guide patients through COE selection, scheduling, pre-op readiness, and travel logistics (with interpreter services as needed).
  • Monitor during travel and admission; keep designated contacts updated.
  • Support adherence to COE provider care plan before and after surgery with regard to medications, rehabilitation, and diet.
  • Educate patients to improve patient activation and support self care activities
  • Ensure timely communication among COE teams, PCPs, and plan stakeholders; deliver discharge summaries/op notes.
  • Track recovery, surface issues early, and close the loop on outcomes and experience.
  • Assesses patient’s medical, social and functional needs before and during transitions of care and tailor care coordination accordingly.
  • Common procedures supported include cancer, infusions, orthopedic, bariatric, GI, gynecologic, cardiac, and other surgical interventions.


Required Qualifications

  • RN or LVN with an active license
  • 3-5+ years clinical experience, preferably managing surgical patients (Orthopedics, Bariatrics, Neuro, Outpatient Surgery, Occ Med, or related)
  • 2+ years of case management experience
  • 1+ year of start up experience
  • 3+ years of remote working experience
  • Able to be in office in SF up to 6 days a month
  • Tech savvy; Strong proficiency in google suite (gsheet, gdoc, etc) and comfortable/excited by the use of AI to improve efficiency
  • Comfort coordinating across multiple providers and care settings, including COE models


Preferred Qualifications

  • RN license
  • CCM certification
  • Prior coordination within a COE program
  • Salesforce experience is a plus
  • Multicultural exposure or medical travel familiarity.
  • Bilingual (Spanish/Hindi) a plus.


Skills & Traits

  • Builder mindset—comfortable testing, learning, and iterating.
  • Tech savviness
  • Relentless ownership to support patients end-to-end.
  • Excellent organization, documentation, and time management; able to juggle multiple cases.
  • Creative problem-solver; collaborative, positive, and flexible (occasional evenings/weekends).


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