Full-Time

Clinical Guide Population Health

RN

Confirmed live in the last 24 hours

Rightway

Rightway

201-500 employees

Personalized healthcare navigation and support platform

Data & Analytics
Healthcare

Compensation Overview

$38 - $40Hourly

Senior

Denver, CO, USA

This role is located in our Denver Tech Center Office and is not a remote position.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Requirements
  • RN, ADN or BSN degree
  • Holds an active RN license in compact state
  • 5+ years of clinical experience required, preferably in family medicine
  • Triage nursing experience desired
  • Care management / chronic condition support experience desired
Responsibilities
  • Clinical triage to assess the severity of the patient’s health concerns using evidence-based protocols and algorithms in directing care to the right healthcare resource in a timely manner without compromising quality or safety
  • Clinical navigation support to include but not limited to: condition education, care options, and planning, care compliance, medication adherence, shared decision support, and care coordination
  • Appropriately leverages input and direction from the Rightway provider to determine the best clinical options for those more complex patient health care needs.
  • Accurately documents symptoms/complaints, nursing assessment, the guidance provided, and member/caller response.
  • Acts in the best interest of the member by being a health advocate and supporter in the member’s healthcare journey.
  • Proactive outreach engagement of high-risk, rising risk, and gap in care members and assists them in making the necessary lifestyle and behavior changes.
  • Coordinates the completion of screening services in high-risk patients by providing care management and adherence follow-up and care coordination support.
  • Member’s trusted healthcare advisor, member experience and retention focus e.g. longitudinal care education, guidance, and support
  • Develops effective collaboration and working relationships across the Navigation team and organization.
  • Maintains a patient-centric, customer-driven professional attitude.
  • Stay within the RN scope of practice by strictly following the protocols set by Clear Triage unless directed to do otherwise by a provider on the clinical team, then documenting appropriately when a change does occur.

Rightway Healthcare provides a comprehensive platform designed to help employees navigate the healthcare system more effectively. The service pairs each employee with a dedicated care team that includes healthcare professionals such as physicians, nurses, and pharmacists, ensuring personalized support for all healthcare needs. Users access the RightwayRx platform, which offers essential resources like formulary guides and prior authorization forms, along with analytics to track engagement and improve services. Unlike many competitors, Rightway focuses on optimizing healthcare spending for employers while enhancing the healthcare experience for employees. The goal is to reduce costs and improve health outcomes by educating users about cost-effective treatment options and providing proactive support.

Company Stage

N/A

Total Funding

$234.2M

Headquarters

New York City, New York

Founded

2017

Growth & Insights
Headcount

6 month growth

14%

1 year growth

22%

2 year growth

59%
Simplify Jobs

Simplify's Take

What believers are saying

  • Rightway's recent $109M funding round indicates strong investor confidence and provides substantial capital for growth and innovation.
  • Recognition as one of the Best Places to Work in both 2023 and 2024 highlights Rightway's commitment to a positive and inclusive workplace culture.
  • Partnerships with major companies like Amazon's One Medical and Kindbody expand Rightway's service offerings and market reach, enhancing its value proposition to employers.

What critics are saying

  • The recent data breach affecting Davis Polk and Okta employees could undermine trust and damage Rightway's reputation in the market.
  • The competitive landscape in healthcare navigation and pharmacy benefits management is intense, requiring continuous innovation to maintain a competitive edge.

What makes Rightway unique

  • Rightway's unique approach of pairing employees with dedicated care teams for personalized healthcare navigation sets it apart from traditional healthcare solutions.
  • The RightwayRx platform's proactive drug search feature empowers users to make informed decisions about their medication costs, a capability not commonly found in other healthcare navigation platforms.
  • Rightway's business model focuses on delivering ROI for employers by reducing healthcare spending and improving employee health outcomes, which is a compelling value proposition in the employee benefits market.

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