Care Team-Registered Nurse

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.

• Managing assigned Care Team case workload from intake through completion. Ensuring cases meet established timelines, service level agreements (SLAs), and performance guarantees (PGs).
• Maintaining knowledge of workflows, clinical operations, and organizational policies and procedures.
• Demonstrating ownership of case progression and timely delivery of services.
• Evaluating medical records and imaging for completeness and clinical quality. Reviewing, interpreting, and synthesizing complex medical records.
• Creating clear, concise, and structured written case summaries. Identifying gaps in records and determining when additional information or testing is required.
• Triaging cases to the appropriate clinical specialty and consulting physician.
• Collaborating with physicians, summary coordinators, and healthcare navigation teams. Ensuring all clinical components are aligned for accurate expert delivery.
• Communicating effectively within the nursing team and cross‑functional partners. Escalating issues, risks, or concerns to leadership as appropriate.
• Adhering to all confidentiality and HIPAA requirements in accordance with company policies. Ensuring compliance with all operational and clinical standards.
• Participating in quality improvement initiatives and organizational projects.

• Possess BSN in Nursing required or currently in progress.
• Hold 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 good attention to detail, critical thinking, and problem‑solving skills.
• Display excellent written and verbal communication abilities.
• Possess 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.

Minimum $85,000 USD | Maximum $95,000 USD

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 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.

In addition, Alight takes affirmative action to employ disabled persons, disabled veterans, and other covered veterans.

Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request reasonable accommodations or modifications by contacting their recruiter.

Applicants for employment in the country in which they are applying must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight.