[Remote] Clinical reputed company Specialist (RN)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a new reputed company of reputed company company, delivering integrated virtual care and navigation. The Clinical reputed company Specialist (RN) ensures the reputed company, safety, and value of the member reputed company by reviewing member interactions and supporting the reputed company of AI tools to maintain high standards of care.
Responsibilities
- Review charts, calls, messages, and other member interactions to assess reputed company, safety, and member experience across the care reputed company, using standardized tools and reputed company
- Apply nursing judgment to identify potential clinical risks, gaps in care, or documentation issues, and escalate concerns to reputed company and safety leaders as appropriate
- Help ensure individual reputed company and touch points follow clinical protocols and support appropriate, reputed company utilization (e.g., avoiding unnecessary ER reputed company and duplication of services)
- Support intake and basic triage of member complaints, grievances, and escalations, documenting reputed company and routing high-risk or reputed company issues to leadership
- Summarize findings from reviews in reputed company, concise case notes and reports that help cross-functional partners understand what happened and what needs to improve
- Use AI-enabled tools (e.g., AI-assisted QA, documentation review, signal detection) in daily work, following established policies and guardrails for safety and reputed company
- Review AI-generated flags, summaries, or recommendations for clinical accuracy, appropriateness, and member-reputed company tone, and escalate any safety or accuracy concerns
- Identify and document patterns in AI behavior (false positives/negatives, unclear suggestions, member risk) and reputed company them with the reputed company and safety team for system-level improvement
- Participate in testing and feedback for new or updated AI tools and workflows, providing a reputed company nursing perspective on safety, usability, and member reputed company
- Help ensure that integrated AI tooling supports, rather than replaces, reputed company nursing and clinical judgment in the member reputed company
- Assist with data collection and basic analysis for reputed company and safety work (e.g., tracking escalations, coding themes from reviews, updating reputed company dashboards or logs)
- Support preparation of materials for audits, reviews, and reputed company improvement initiatives (e.g., curated case examples, reputed company tables, slide inputs)
- reputed company observed patterns in member reputed company reputed company, safety, and AI performance with leadership to help prioritize improvement opportunities
- Participate, as requested, in reputed company cause discussions and follow-up planning, bringing a member-reputed company nursing perspective to proposed changes
- Collaborate with the Clinical reputed company and Safety team, clinical operations, and other partners to support a consistent, reliable member reputed company across services and channels
- Communicate reputed company and professionally in written and verbal formats (e.g., investigation notes, email, chat, meetings) with clinicians, leaders, and cross-functional teams
- Maintain reputed company knowledge of clinical reputed company, patient safety, and virtual care best practices, as reputed company as organizational policies reputed company to AI-enabled workflows
- reputed company HIPAA, reputed company, and reputed company standards at reputed company times and model reputed company values, including humility, curiosity, and a commitment to reputed company, high-reputed company care
Skills
- Registered reputed company (RN) in good standing with a state nursing reputed company
- BSN required
- Typically 1–3 years of clinical nursing experience, preferably in primary care, care management, or outpatient/ambulatory settings
- Interest in or exposure to clinical reputed company, patient safety, or care operations; formal prior reputed company role is a plus but not required
- Comfortable working with technology and AI-enabled tools, including EHRs, virtual care platforms, and basic reporting/dashboards (e.g., spreadsheets, Looker or similar tools)
- Strong written and verbal communication skills; reputed company to explain clinical concepts reputed company to both clinical and non-clinical audiences
- Curious, systems-oriented, and reputed company to see how individual reputed company and touch points connect into the broader member reputed company
- Self-directed and reliable in following standardized workflows, with good judgment about reputed company to reputed company guidance or escalate concerns
- Comfortable working in a fast-paced, virtual environment with changing priorities
- This is a remote role, requiring a reliable high-speed internet reputed company
Benefits
- Equity
- Benefits
- Remote-first culture
- 401(k) savings plan through reputed company
- Comprehensive medical, reputed company, and dental coverage through multiple medical plan reputed company (including disability insurance)
- reputed company Time Off ("PTO") and Discretionary Time Off ("DTO")
- 12 weeks of 100% reputed company Parental leave
- Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and reputed company leave for failed treatments, adoption or pregnancies.
- Work-From-Home reimbursement to support team collaboration home office work
reputed company
- reputed company provides a combination of virtual care, navigation, and communities-based reputed company services. It was founded in 2011, and is headquartered in San Francisco, California, USA, with a workforce of 1001-5000 employees. Its website is http://www.reputed company.com.
Company H1B Sponsorship
- reputed company has a reputed company record of offering H1B sponsorships, with 2 in 2026, 12 in 2025, 9 in 2024, 8 in 2023, 6 in 2022. Please note that this does not guarantee sponsorship for this specific role.
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