Salary Range: 80000 to 85000 (Currency: USD) (Pay period: per-year-salary)

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
• Team player with the ability to build relationships and effectively interact both internally and externally with people at all levels of the organization and customer orientation; ability to operate in a remote environment and effectively build relationships virtually.
• You are mission-driven. You care about making our healthcare system work better for people and business owners
• You are hungry for more knowledge. You ask questions from a place of genuine curiosity and humility. You assume the best intentions without shying away from solutions-oriented debate. You meet your teammates with compassionate candor to solve problems together for our customers.
• You remain flexible, and resilient, and foster a culture of continuous learning even in the face of hardship. You take care of yourself so you can be there to support your teammates. 
• You bring a bias for action paired with intelligent risk-taking. You keep the ball moving forward at each step; take action and make a decision even with imperfect data. You make bold bets to positively impact the healthcare industry while recognizing the potential friction that comes with innovation.
• You embrace responsibility. You follow through on your commitments and foster trust with your colleagues. You own your mistakes and are accountable to others, knowing everyone shares in our success through equity in Sana.