Job Details
Teladoc Health, a global leader in whole-person virtual care, is seeking a Nurse, Care Coordinator to provide proactive utilization management and care coordination services to members with high-risk needs, complex medication requirements, or inappropriate urgent/emergent care utilization. This role ensures high-quality, cost-effective healthcare coordination while delivering exceptional service.
Responsibilities
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Deliver outstanding service to members, providers, and care teams via phone, video, and written communication.
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Review member cases with external health plan risk teams, offering advice and support.
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Collaborate with patient navigators and physicians to review and update care plans.
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Maintain accurate documentation in care coordination systems.
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Process referrals and prior authorizations promptly and accurately.
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Conduct intake assessments, treatment planning, and reassessments to ensure coordinated, high-value, in-network care.
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Evaluate clinical data to identify high-risk members and create action-oriented health goals.
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Assist with medication reconciliation and post-hospitalization care navigation.
Required Qualifications
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Active compact RN or NP license in good standing (ability to obtain licensure in all 50 states).
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BSN or MSN required.
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1–3 years of clinical experience.
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Strong customer service background in healthcare.
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Excellent assessment, analytical, and communication skills.
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Strong organizational skills and computer literacy.
Preferred Qualifications
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Certified Case Manager (CCM) certification highly preferred.
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Previous care coordination or virtual care experience.
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Bilingual (English/Spanish) a plus.
Why Join Teladoc Health?
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Work with the global leader in whole-person virtual care.
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Make a meaningful impact by improving health outcomes for patients worldwide.
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Collaborate with a diverse and inclusive team.
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Competitive pay, benefits, and growth opportunities.
Additional Information