Full-Time
Registered Nurse
Bilingual
Posted on 9/8/2025
Collective Health
501-1,000 employees
Manages employer health benefits via platform
Compensation Overview
$94.8k - $118k/yr
Plano, TX, USA
Hybrid
This is a hybrid position with the expectation of being in the office at least three weekdays per week.
 Medical, Clinical & Veterinary (1) |
|---|
- Bachelor’s degree and an active RN license in a compact state with the ability to be licensed in other states as needed
- 1+ years experience in case management
- 2+ years experience in a hospital or clinical setting
- Bilingual Required (English/Spanish)
- Strong competence and ability to use multiple computer/medical record systems, as well as Google suite
- Ability to prioritize and manage multiple assignments while maintaining department performance standards in a remote setting
- Ability to simultaneously talk, type, and navigate an electronic chart with ease
- Commitment to Collective Health's core values of integrity, transparency and trust
- Deliver coordinated, patient-centered virtual Care Management by telephone that improves members’ health outcomes
- Lead outreach efforts to high-risk individuals and complete care management assessments and care plans for patients enrolled in the program
- Utilizes the Nursing Process and broad knowledge of the whole person including pharmacy interventions, crisis interventions, and disease-specific education to support members in their care journey
- Help members navigate the complexity of the healthcare system, providing education and empowerment to support members in meeting their healthcare goals
- Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family
- Identify and discuss current barriers related to member's current conditions, and provide interventions to address these barriers and connections to relevant health benefit resources
- Work with other disciplines on co-managed cases and collaborate with other teams to assist with benefits and claims questions
- Coordinate necessary resources that holistically address members’ problems, whether clinical or social
- Provide compassionate, longitudinal follow-up care, building supportive relationships
- Participating in program case rounds and providing input for process improvement opportunities and resources for team
- Will be required to take call as scheduled
- Other duties and projects as assigned by Manager
- Looking for RNs with experience in these areas: med/surg, cancer, behavioral health, maternity, critical care/emergency, pediatric, community care
- You are driven, passionate, attentive, enjoy change, and are excited to help people
- You can identify and implement best practices
- You excel at managing a caseload, and can complete daily tasks and outreach
- You excel working in a telephonic care manager role with no direct/face to face patient contact
Collective Health provides a health benefits platform that helps employers manage and improve employee health benefits by integrating multiple health insurance plans, wellness programs, and related services into one easy-to-use interface. The product works as a software platform used by employers to enroll employees, compare plans, access claims, and administer benefits, consolidating diverse plans and services into a single portal with administrative tools for streamlined management. Compared with competitors, Collective Health focuses on the employer experience—centralizing plan administration, transparency, and user-friendly access to benefits and wellness options—while aiming to reduce costs and administrative overhead for employers. The company’s goal is to make healthcare benefits easier to access and manage for employees and to simplify benefits administration for employers.
Company Size
501-1,000
Company Stage
Series F
Total Funding
$714M
Headquarters
San Francisco, California
Founded
2013
Simplify's Take
What believers are saying
- Plano office opened April 23, 2024, supports Spanish-speaking clients with 100 employees.
- Noom partnership offers 28% GLP-1 medication savings via SmartRx adaptive cost-sharing.
- Caroline Jessen as CPO and Keven Sticher as CISO drive growth and security enhancements.
What critics are saying
- Providence outsourcing causes integration failures, HIPAA violations, and PEBB member data loss.
- Zocdoc captures 20% self-funded market share with cheaper telehealth navigation in 12 months.
- Google Cloud outages disrupt CAI reliability, raising costs after July 2024 healthcare failures.
What makes Collective Health unique
- Collective Health integrates medical, dental, vision, pharmacy into unified TPA platform.
- CAI AI launched February 25, 2026, with Google Cloud enhances member concierge experience.
- Exclusive Providence Health Plan TPA partnership delivers 50% claims cost reduction over five years.
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Benefits
Medical, dental, and vision plans
Flexible time off
Life insurance
Retirement plan
Paid time off
Maternity & paternity leave
Free lunch and snacks
Growth & Insights and Company News
6 month growth
↑ 0%1 year growth
↑ 0%2 year growth
↓ -1%Collective Health collaborates with Google Cloud to deliver Collective AI (CAI(TM), reimagining the healthcare experience through enterprise-scale AI. Collective Health leverages its unique third party administration (TPA) foundation and Google Cloud's secure infrastructure to support responsible artificial intelligence innovation SAN FRANCISCO, CA, Feb. 25, 2026 - Collective Health, an independent, transparent third party administrator (TPA) with Care Navigation and Benefits Hub, today announced a strategic infrastructure expansion and collaboration with Google Cloud to deliver its next generation of human-centric healthcare intelligence, Collective AI (CAI(TM). CAI(TM) brings the power of artificial intelligence across the Collective Health platform. It includes: * CAI MX(TM)(Member Experience): Acts as an intelligent concierge within the My Collective(R) app. Members can use their own words to ask common questions about their specific plan benefits, like "Is my plan active?" or "Can you show me my ID cards?" * CAI Intelligence(TM): Today, CAI Intelligence(TM)"supercharges" customer service representative (Member Advocate) abilities when on the phone with members. By automating plan-specific search and real-time documentation, CAI(TM) allows Member Advocates to actively engage and be present while interfacing with members. * CAI CX(TM)(Client Experience): The first applications of CAI CX(TM) will focus on transforming the administrative burden of annual enrollment and plan implementation processes into an easy-to-follow guided project management experience with CAI(TM) plan design insights, supporting benefit leaders and their consultant teams to collaborate and execute their benefits strategy all within the Collective Compass(R) employer portal. "Our focus at Collective Health has never been on chasing headlines, but on the real, practical application of technology to solve the problems that affect millions of people trying to get the care they need," said Ali Diab, CEO and Co-founder of Collective Health. "By collaborating with Google Cloud, we are combining our deep healthcare expertise with world-class infrastructure to improve access to benefits information for employers and members, with robust security and privacy protections for sensitive healthcare data." "Healthcare requires a unique balance of rapid innovation and an uncompromising commitment to data privacy and user safety," said Aashima Gupta, Global Director, Healthcare Strategy & Solutions, Google Cloud. "By choosing Google Cloud to help deliver CAI(TM), Collective Health is able to deploy sophisticated generative AI models on a foundation built for privacy, scale, and reliability. We are excited to support their mission of helping healthcare consumers better understand, navigate, and pay for their healthcare, proving that advanced technology can be used to significantly improve the day-to-day experience of employers and their members." Collective Health's platform is built on a privacy-by-design framework, providing employers with the confidence that sensitive employee health data is protected and never used to train external foundational models. In addition, Collective Health's AI implementation follows the same rigorous security standards as its core infrastructure - including foundational, actively monitored compliance with the HIPAA Security Rule and SOC 2 Type 2 trust principles. Collective Health's commitment to privacy and compliance distinguish its approach in the market. CAI's(TM) development is anchored in a framework of responsible AI including: * Enhance, never diminish: AI must always improve the customer experience. * Superior accuracy: AI must be at least as accurate as a human, and ideally much more. * Human boundaries: AI can never be catastrophically wrong and must respect the necessity of human interaction. * Do no harm: AI must protect customers, workers, and society at large. About Collective Health Collective Health is the leading independent TPA and navigation platform powered by AI that transforms how employers deliver healthcare benefits. By unifying medical, dental, vision, pharmacy, and program partners into a single platform, Collective Health delivers measurable cost savings with a better member experience and lowers administrative burden for HR teams. Collective Health, Inc. is headquartered in San Francisco, CA with customer experience centers in Lehi, UT, and Plano, TX. For more, please visit collectivehealth.com. Media Contact
Collective Health, a leading employee health benefits platform with integrated member advocacy, clinical navigation, and an extensive partner ecosystem, announced the appointments of Caroline Jessen as Chief People Officer (CPO) and Keven Sticher as Chief Information Security Officer and VP of Engineering.
At its Together 2025 customer conference in Scottsdale, CollectiveHealth, Inc. had an engaging and thought-provoking discussion on AI in healthcare to kick off the event.
Providence Health Plan partners with Collective Health.
In 2023, Collective Health laid off 54 employees and restructured its workforce to better align with customer needs.