Care Team-Registered Nurse
Listed on 2026-06-26
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Nursing
RN Nurse, Clinical Nurse Specialist, Nurse Practitioner
About the Role
This role is critical in supporting members through high-quality clinical case management and coordination of expert medical opinions. The position involves reviewing complex medical cases, ensuring clinical completeness, and facilitating the delivery of expert insights through collaboration with physicians and internal teams.
Responsibilities- Manage assigned Care Team case workload from intake through completion.
- Ensure cases meet established timelines, service level agreements (SLAs), and performance guarantees (PGs).
- Maintain knowledge of workflows, clinical operations, and organizational policies and procedures.
- Demonstrate ownership of case progression and timely delivery of services.
- Evaluate medical records and imaging for completeness and clinical quality.
- Review, interpret, and synthesize complex medical records.
- Create clear, concise, and structured written case summaries.
- Identify gaps in records and determine when additional information or testing is required.
- Triage cases to the appropriate clinical specialty and consulting physician.
- Collaborate with physicians, summary coordinators, and healthcare navigation teams.
- Ensure all clinical components are aligned for accurate expert delivery.
- Communicate effectively within the nursing team and cross‑functional partners.
- Escalate issues, risks, or concerns to leadership as appropriate.
- Adhere to all confidentiality and HIPAA requirements in accordance with company policies.
- Ensure compliance with all operational and clinical standards.
- Participate in quality improvement initiatives and organizational projects.
- Possess BSN in Nursing (required or currently in progress).
- Hold an active RN license in good standing.
- Have experience managing relationships with external clients or partners.
- Have experience reviewing and analyzing complex patient medical records.
- Demonstrate strong attention to detail, critical thinking, and problem‑solving skills.
- Display excellent written and verbal communication abilities.
- Possess a dynamic customer service orientation.
- Be proficient in Microsoft Outlook, Word, Excel, and Adobe PDF tools.
- Have ability to work independently and collaboratively in a team environment.
- Be comfortable in an urgent, evolving operational setting and flexible to changing priorities.
- Health, dental, and vision coverage starting Day One.
- Wellbeing programs.
- Retirement plans with contribution matching.
- Generous time off and parental leave.
- Continuing education and career growth opportunities.
Salary Pay Range Minimum : 85,000 USD
Maximum : 95,000 USD
Pay Transparency Statement:
Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level.
Alight provides a comprehensive benefits package. For specific details on our benefits package, please visit:
Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law.
We take affirmative action to employ disabled persons, disabled veterans, and other covered veterans. We provide reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs unless doing so would result in undue hardship.
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