Nurse Navigator (RN or LVN)- Hybrid role
3 days ago
Fresno
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).