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Lantern Care

Specialty care platform with direct contracting

Clinical Care Specialist

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • Registered Nurse with an active Texas or New York state license in good standing; an unencumbered ability to hold a license in all fifty states is preferred.
  • Licensed Practical Nurse or Medical Assistant with an active Texas or New York state license in good standing will also be considered.
  • Med-surg background with office or clinic experience in bariatric, gynecology, orthopedics, joint replacement, spine, or pain management.
  • Prior customer service, call center, member engagement, or patient-facing communication experience.
  • Ability to explain complex clinical information in clear, plain language.
  • Strong critical thinking and problem-solving skills for navigating complex member situations.
  • Comfort with outbound calling and motivating members toward informed decisions.
  • Strong command of medical terminology, anatomy, and physiology.
  • Proficiency in Microsoft Office (Word, Excel, Outlook, and Teams) and documenting in CRM or care management systems.
  • Ability to work with data sources and reports to inform member conversations.
  • Knowledge of healthcare regulations and compliance standards.
  • Maintain strict confidentiality and adhere to HIPAA and applicable regulatory and compliance standards.

Responsibilities

  • Conduct proactive outreach to eligible members to introduce the Lantern surgical benefit, explain its value, and encourage engagement.
  • Guide members to the appropriate Center of Excellence provider based on their clinical needs, preferences, and provider-network quality.
  • Apply specialty knowledge to answer clinical questions and explain what to expect before, during, and after surgery.
  • Review member information to confirm that provider recommendations are clinically appropriate.
  • Educate members and their families on surgical preparation, recovery, and the importance of following discharge instructions.
  • Serve as a clinical resource for internal care advocates and customer care teams on provider selection and specialty-specific questions.
  • Collaborate with Lantern Clinical Leadership and the Medical Advisory Board on complex or escalated cases.
  • Support ongoing training of frontline care advocates on the surgical care landscape.
  • Assess member understanding throughout the process to ensure effective engagement and informed decisions.
  • Manage a high volume of outbound and inbound member calls with empathy, professionalism, and a focus on quality-driven provider recommendations.
  • Meet or exceed engagement, conversion, and quality metrics set by management, and document member interactions accurately and on time.
  • Identify trends, barriers, and opportunities to increase member selection of COE providers, and share insights with leadership.
  • Collaborate cross-functionally to ensure members receive clear, consistent, and accurate information.
  • Manage time and priorities effectively in a fast-paced environment.

Desired Qualifications

  • A Bachelor of Science in Nursing (BSN) is preferred.
  • Nurse navigation, case management, or utilization review experience is a plus.
  • Bilingual English/Spanish skills are preferred but not required.

About the Company

Lantern Care

Specialty care platform with direct contracting

Lantern Care runs a specialty care platform that connects self-funded employer health plan members with high-quality, cost-effective care for complex needs through a proprietary Network of Excellence of top specialists and facilities. It focuses on planned surgeries, cancer care, and infusion therapies, using direct contracting and bundled payments, with a dedicated care team guiding patients from diagnosis to follow-up and helping with second opinions and scheduling. The model emphasizes local, accessible care to boost utilization and achieve substantial cost savings—over 55% lower than typical plans—compared with travel-based COE approaches. Lantern’s goal is to lower employers’ healthcare costs while delivering better clinical outcomes and expanding access to specialty care for workers and their families.

Company size
501-1,000
Company stage
Growth Equity (Venture Capital)
Total funding
$31M
Headquarters
Dallas, TX
Founded
2010

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