Calibrate

Care Coordinator

• Execute critical clinical administrative workflows to resolve readiness barriers and accelerate members toward provider review and medication access
• Prepare clinical documents and proactively triage member needs for specialty support
• Facilitate structured handoffs of critical information to Clinical and Coaching teams
• Participate in cross-functional meetings and collaborate with other departments to improve member care
• Identify and report recurring systemic issues, submission errors, and operational trends
• Own the end-to-end medication access workflow, including gathering clinical data, coordinating with clinicians, submitting complex prior authorizations, investigating denials, documenting appeals, and managing final determinations and overrides
• Contact members by phone and secure message to request information and explain complex prior authorization status changes or delays
• Call insurance carriers, PBMs, and pharmacies to obtain case statuses, track documentation, and secure approvals
• Log communications, investigation notes, and prior authorization statuses accurately in case management systems such as Zendesk and MJD
• Resolve pharmacy-level rejections and troubleshoot insurance issues preventing successful claims processing

Explore Member Care Coordinator at Calibrate. Review requirements and application details.

Member Care Coordinator

Nurse

• Provide a world-class patient experience and clinical care
• Utilize and support Calibrate’s clinical treatment paradigm for obese patients pursuing weight-loss goals
• Provide care management for patients needing additional clinical support
• Serve as a program ambassador, addressing clinical and programmatic questions throughout patients’ Calibrate journey
• Engage cross-functionally with physicians, nurse practitioners, and support teams to coordinate patient care
• Review and manage daily tasks, asynchronous patient messaging, and telephonic patient triage
• Conduct member outreach and support to enhance program progress
• Coordinate clinical program activities
• Confirm clinical appropriateness for clinical care pathways
• Introduce patients to Calibrate’s method and establish program plans
• Provide feedback to improve the program and help patients achieve and maintain metabolic health and weight-loss goals

Explore Registered Nurse – Part-Time at Calibrate. Review requirements and application details.

Open roles

Member Care Coordinator

Registered Nurse – Part-Time