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Nurse, Care Coordinator
Teladoc Health. Provide proactive utilization management services for Teladoc Health members with high-risk needs, inappropriate urgent or emergent care utilization, and/or complex medication needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical assessment, care coordination, and customer service within a healthcare setting, with a focus on managing high-risk member needs and optimizing health outcomes. Proficient in data analysis and documentation management to support effective treatment planning and referral processes.
Highest-signal resume keywords
Active RN, BSN Or MSN, NPClinical ExperienceCustomer Service ExperienceData Analysis SkillsCare Coordination Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical AssessmentMedication ReconciliationReferral ProcessingPrior Authorization ManagementIntake AssessmentTreatment Plan CoordinationPerformance Metrics ManagementClinical Data InterpretationHigh-Risk Member IdentificationDocumentation Management
Soft Skills
Exceptional Customer Service SkillsStrong Time ManagementOrganizational SkillsAbility To Work IndependentlyAdaptability To Change
Tools & Technologies
Microsoft SoftwareCare Coordination SystemsVideo Communication Tools
Certifications & Qualifications
Certified Case Manager
Industry Keywords
Utilization ManagementHealthcarePatient DocumentationComplex Medication NeedsHigh-Risk NeedsVirtual Work ExperienceBilingual (English/Spanish)
About the role
Key responsibilities & impact- Provide proactive utilization management services for Teladoc Health members with high-risk needs, inappropriate urgent or emergent care utilization, and/or complex medication needs
- Deliver customer service to members, providers, care team members, and external facilities through written, telephone, and video communication
- Review member cases with external health plan risk teams and provide advice, direction, and support
- Meet with members and patient navigators after primary care appointments to review and update plans of care
- Establish and retain patient documentation in external referral and care coordination systems
- Process referrals and prior authorizations
- Manage daily assignments to meet department-specific performance metrics
- Conduct intake assessments, coordinate treatment plans, and reassess services
- Coordinate high-value, in-network care to optimize health outcomes
- Determine member eligibility and refer members to support services
- Evaluate and interpret clinical data to identify high-risk members and implement action-oriented goals
- Analyze complex clinical situations and provide appropriate solutions
- Perform medication reconciliation
Requirements
What you’ll need- Active RN, BSN or MSN, NP in good standing
- 1-3 years of clinical experience
- Customer service experience in a health care setting
- Ability to work independently and as part of a high performing team
- Ability to receive work instruction and maintain department productivity standards
- Exceptional customer service skills
- Strong data analysis and clinical assessment skills
- Excellent written and verbal communications skills
- Strong time management and organizational skills
- Ability to manage multiple, competing priorities
- High degree of computer literacy and ability to manage multiple systems, including Microsoft software
- Ability to learn new procedures and adapt to changes in a fast-paced working environment
- Must be currently authorized to work in the United States without visa sponsorship now or in the future
- Certified Case Manager preferred
- Prior care coordination experience preferred
- Virtual work experience preferred
- Bilingual (English/Spanish) a plus
Benefits
Comp & perks- Performance bonus eligibility
- Flexible Vacation Policy
- 80 hours of Paid Sick, Safe, and Caregiver Leave annually
- Benefits program for employees and families, subject to eligibility requirements
- Career growth and development opportunities
- Inclusive workplace and community
- Innovative culture
- Candidate resources and recruiter support