This role centers on leading healthcare services work in a remote setting, with a focus on nursing-informed oversight, care coordination, and operational support for health plan or utilization-related workflows. The work may also involve collaboration with provider relations or broader healthcare services teams, depending on the specific assignment.
Key Responsibilities
- Provide leadership and oversight for healthcare services processes and team workflows.
- Coordinate clinical and operational activities related to care management or utilization-focused services.
- Collaborate with internal departments and external provider partners to support service delivery.
- Use remote tools and documentation systems to manage daily work and track outcomes.
- Participate in quality, performance, and process improvement activities.
Required
- Registered Nurse (RN) licensure.
- Experience in healthcare services, care management, or related clinical operations.
- Ability to work remotely.
Preferred
- Prior leadership or supervisory experience.
- Experience with health plan, utilization management, or provider relations workflows.
- Experience supporting remote or distributed teams.
