Clinical Health Navigator, RN

The Clinical Health Navigator, RN serves as a trusted clinical resource for employees and their families, helping them navigate complex healthcare decisions and access high-quality, appropriate, and cost-effective care.

What You Will Do

Guide members through complex healthcare moments, connect them to better care, identify members who need support, translate the clinical story behind claims, coordinate across the healthcare ecosystem, and help employers understand emerging clinical and cost drivers.

Why It Might Be a Fit

The ideal candidate will have strong clinical knowledge, healthcare-system expertise, and benefits awareness, with exceptional interpersonal and communication skills, and the ability to explain complex clinical concepts in clear, accessible language.

Requirements

• Active, unrestricted Registered Nurse (RN) license
• Minimum of five years of clinical nursing experience
• Demonstrated experience caring for patients with complex, chronic, catastrophic, or high-acuity conditions
• Strong working knowledge of medical terminology, disease processes, treatment pathways, medications, specialty care, and the practical realities of healthcare delivery
• Strong understanding of how patients and families navigate providers, health systems, pharmacies, insurance, and other components of the healthcare ecosystem
• Exceptional interpersonal and communication skills, with genuine comfort building trust and rapport with people experiencing stressful or high-stakes healthcare situations
• Ability to explain complex clinical concepts in clear, accessible language to both members and non-clinical business audiences
• Strong critical-thinking and clinical-assessment skills, with the ability to recognize when a situation warrants additional expertise or escalation
• Comfort working with medical and pharmacy claims data to identify patterns, prioritize opportunities, and support proactive member outreach
• Demonstrated ability to work independently while collaborating effectively with physicians, consultants, account teams, vendors, and other healthcare stakeholders
• High degree of professionalism, discretion, empathy, and respect for member privacy and confidentiality

Benefits

• Medical, dental, vision, prescription drug coverage
• 401K
• Equity incentive plan
• Employee Wellness Program
• Company paid holidays, plus PTO
• Dental insurance
• Vision insurance