Carrum Health

Carrum Health is a healthcare company that partners with employers to provide employees access to high-quality medical care through a network of top providers. Carrum Health aims t

Clinical Care Navigator, Cardiology

Location

United States

Posted

8 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Clinical Care Navigator, Cardiology

Carrum Health

Role Description At Carrum, we live and breathe the mission of transforming the healthcare system to create an unmatched experience for patients. As a senior member of the Care Team, the Senior Clinical Care Navigator serves as the lead architect for the most complex patient journeys and multi-system coordination needs. The SCCN masters the intersection of clinical excellence and operational strategy, managing high-acuity cases while simultaneously refining the workflows that drive care continuity. You’re excited about this opportunity because you will... - Own Complex Care: Have the autonomy to manage advanced cardiology caseloads, guiding patients from diagnosis through recovery and ensuring no one falls through the cracks of the healthcare system. - Represent the Service Line: Serve as a key clinical representative for the Cardiology Service Line, tracking critical case metrics and collaborating with cross-functional partners to support the program's growth. - Drive Operational Success: Take individual ownership of the clinical and operational success of your assigned cases, ensuring patients achieve the best possible health outcomes. - Document Best Practices: Use your technical writing skills to translate clinical workflows into clear, repeatable documentation and standard processes. - Refine Care Models: Influence our care models by identifying operational gaps and providing feedback to help set the standard for navigation workflows. - Bridge Clinical & Business Operations: Act as a critical link between Center of Excellence (CoE) clinical experts and our internal clinical operations teams to ensure business execution aligns with clinical intent. - Caseload Management: Manage a dedicated caseload of cardiology patients; identify eligible candidates and facilitate all necessary referrals for testing and procedural appointments. - Care Path Execution: Participate in the implementation and evaluation of educational materials and clinical care paths to ensure patient adherence to medical plans and behavioral modifications. - Operational Alignment: Work closely with management on daily operations, contributing insights toward short- and long-range planning to improve service delivery and patient satisfaction. - Subject Matter Expertise: Serve as a clinical resource for the care team, providing guidance on cardiac diagnosis management and patient quality-of-life matters. - End-to-End Navigation: Own the seamless delivery of care for your patients, ensuring they experience clear, coordinated, and timely care throughout their journey. - Continuous Improvement: Identify operational bottlenecks and workflow gaps, contributing actionable insights that enhance the overall patient experience. - Change Adaptability: Serve as a stabilizing force within the team as processes, digital tools, and organizational needs evolve. - Cross-Functional Collaboration: Partner across departments to support workflow improvements and ensure clinical execution aligns with patient experience goals. Qualifications - Registered Nurse with a BSN and a proven track record (5+ years) of progressive experience in cardiology. - Technical savvy to collect, report, and present program metrics (via Excel, PowerPoint, etc.) to drive quality improvement and regulatory compliance. - Ability to manage complex workflows, high-impact responsibilities, and advanced patient scenarios. - Commitment to providing the highest level of service through empathy, professionalism, and integrity. - Ability to handle confidential information and adhere to HIPAA requirements. - Comfortable interacting through a variety of tech platforms and can quickly learn new software. Requirements - Bachelor of Science in Nursing (BSN) from an accredited School of Nursing is required. - Minimum of 5+ years of progressive clinical experience in Cardiology is preferred. - Demonstrated ability to lead interdisciplinary teams and manage specialty clinics with minimal supervision. - High level of proficiency in Evidence-Based Practice (EBP) and relationship-based care models. - Current and unrestricted Registered Nurse licensure. - Nice to have: Spanish Speaking preferred. - Nice to have: Board certification in Cardiac-Vascular Nursing (RN-BC) or as a Care Coordination and Transition Management (CCCTM) professional is highly recommended. Benefits - Stock option plan - Flexible schedules and remote work - Chicago and San Francisco offices available - Self-managed vacation days, within reason - Paid parental leave - Health, vision, and dental insurance - 401K retirement plan Company Description We’re a health tech company that brings value-based care to the masses. We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes through the power of technology and human-centered design. Since launching in 2014, we’ve partnered with Fortune 500 employers and top hospitals across the nation. We’ve been recognized by Harvard Business School and featured in TechCrunch, The Los Angeles Times, Washington Post, and Modern Healthcare.

Related Categories

Related Job Pages

More Clinical Research Jobs

Erasca, Inc. logo

Clinical Trial Manager – Senior

Erasca, Inc.

Our mission at Erasca is embedded in our name: To erase cancer.

Full TimeRemoteTeam 51-200Since 2020H1B No Sponsor

• Manage global clinical trials (Phase 1-3) in oncology indications, ensuring that studies are carried out in accordance with the clinical development plan, ICH-GCP, and FDA/other regulatory agency requirements. • Recruit global study sites and foster relationships with study investigators. • Participate in the process of site and vendor selection, qualification, and activation. • Develop Requests-for-Proposals and assist in vendor selection efforts. • Assist in review and negotiation of vendor contracts and study site clinical trial agreements. • Manage study vendors (e.g., CRO, IRT, laboratories, core ECG/imaging). • Monitor the progress of trials, including enrollment and clinical trial material inventory. • Review monitoring visit reports for completeness and adherence to the annotations. • Assist in packaging/labeling/distribution of clinical trial material. • Monitor and track biological samples for applicable analyses. • Provide progress updates to management and during program team meetings. • Assist in departmental budgeting, including accruals and projections. • Assist in development of protocols, consent forms, IRB/EC materials, and other trial documents. • Assist in development of Clinical SOPs. • Prepare/review/approve study materials such as CRFs, patient diaries, drug accountability forms, study and investigator manuals, project plans, and monitoring reports. • Assist in electronic case report form design and development. • Assist in IRT design and development. • Participate in data cleaning activities and developing appropriate data outputs. • Understand and help fulfill the needs of other Erasca departments (e.g., Finance, Research). • Provide leadership and mentoring of other Clinical team members. • Perform all duties in keeping with the Company’s core values, policies and all applicable regulations.

California
$145K - $190K / year
Natera logo

Senior Clinical Trial Manager

Natera

We are a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health.

Full TimeRemoteTeam 1,001-5,000Since 2004H1B Sponsor

• Responsible for the implementation of clinical trial activities per study protocol. • Works closely with investigative site personnel, CROs, and other study vendors. • Manage study contracting, budget and payment process for all clinical trial vendors including investigational sites. • Design study related documents, including but not limited to study protocol, informed consent forms, CRFs, and regulatory binders. • Train CROs, vendors, investigators and study coordinators on study protocol and relevant requirement. • Monitor and track clinical trial progress and provide status update to stakeholders. • Partner with other research and development groups to achieve deliverables. • Mentor junior clinical operations staff and supervise clinical study team. • This role works with PHI on a regular basis both in paper and electronic form and have an access to various technologies to access PHI (paper and electronic) in order to perform the job.

United States
$131.9K - $164.9K / year
Job Closed
Cohere Health logo

Clinical Review & Correspondence Nurse

Cohere Health

Cohere Health is a Software-as-a-Service (SaaS) company focused on improving the patient journey by enhancing the quality of care at lower costs, as well as emp

Full TimeRemoteTeam 900Since 2019

Role Description The Clinical Review & Correspondence Nurse plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications. In collaboration with Medical Directors and cross-functional partners, this role ensures that clinical decisions are evidence-based, align with regulatory and accreditation standards, and are communicated effectively and timely. Through precise clinical review and documentation, you will help support high-quality care, regulatory compliance, and improved member outcomes. - Consult with Medical Directors on clinical determinations, medical necessity decisions, and related clinical correspondence - Prepare clear, accurate, and compliant member and provider communications in alignment with regulatory and organizational requirements - Understand regulatory requirements governing utilization management decisions and ensure appropriate application to clinical determinations and communications - Understand when and why member and provider notifications are required, including regulatory and clinical triggers for written communication - Support verbal notification workflows when timely communication of clinical determinations is required - Document clinical information completely, accurately, and in a timely manner - Consistently meet or exceed productivity, quality, and turnaround time expectations - Maintain a thorough understanding of accreditation and regulatory requirements and ensure utilization management decision-making and timeliness standards remain in compliance - Perform other duties as assigned Qualifications - LPN with active, unencumbered license in the state of residence - Experience developing member and provider correspondence within a health plan environment - Minimum of 3 years of clinical experience - Utilization Management experience required - Knowledge of NCQA and CMS standards and requirements - Thrive in a fast paced, self-directed environment - Understand how utilization management and case management programs integrate - Strong communication skills, able to effectively communicate in a positive and engaging manner and able to remain calm and professional under pressure - Comprehensive thinker/planner with understanding of clinical algorithms, care pathways, and how to effectively manage utilization across the care continuum to achieve optimal patient outcomes - Highly organized with excellent time management skills - Thrives on continuous process improvement, always actively seeking out practical solutions - Demonstrated ownership mentality with a willingness to take on new challenges and contribute beyond defined responsibilities when needed - Nursing Certification - Utilization Review/Utilization Management experience - Proficiency in using a Mac - Experienced with G suite applications Requirements - This is a 100% remote role, and requires robust internet speeds (above 50 megabytes/second), including the ability to utilize zoom meeting software and to stream video - The department is staffed seven days per week, 8am-8pm EST and shifts will be assigned based on need - This is a full time, 40 hour per week opportunity Benefits - 💻 Fully remote opportunity with about 5% travel - 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program - 📈 401K retirement plan with company match; flexible spending and health savings account - 🏝️ Up to 184 hours (23 days) of PTO per year + company holidays - 👶 Up to 14 weeks of paid parental leave - 🐶 Pet insurance Interview Process - Internet Speed Test - Behavioral Interview(s) with your Hiring Manager!

United States
$31 - $35 / hour
Job Closed
Ibility logo

Clinical Informaticist II

Ibility

We are committed to diversity, inclusion, and accessibility. We are an Equal Opportunity Employer in all aspects of employment and do not discriminate for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Full TimeRemoteTeam 11-50

Role Description The Clinical Informaticist II applies advanced knowledge at the intersection of clinical practice, information science, and healthcare technology to optimize the use of clinical information systems and improve patient outcomes. This role supports the assessment of information and knowledge-based needs of healthcare professionals and patients, refines clinical processes, and leads or contributes to the development, implementation, and continuous improvement of clinical information systems including electronic health records (EHR) and clinical decision support (CDS) tools. The position operates in a government contracting environment supporting complex federal healthcare delivery systems. Please note this position is contingent upon award (July/Aug 2026). Key Responsibilities - Assess information and knowledge-based needs of healthcare professionals and patients to inform system design, configuration, and optimization activities. - Characterize, evaluate, and refine clinical processes to enhance efficiency, accuracy, and quality of care delivery. - Develop, implement, and refine clinical decision support (CDS) systems to promote evidence-based clinical practice. - Lead or participate in procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems, including EHR and order-entry systems. - Translate clinical requirements into functional and technical specifications for health IT development and configuration teams. - Conduct gap analyses, workflow assessments, and usability evaluations to identify opportunities for system enhancement. - Collaborate with clinical staff, IT teams, and program management to ensure system implementations meet clinical and operational objectives. - Develop training and change management materials to support end-user adoption of clinical information systems. - Monitor post-implementation performance and recommend enhancements to achieve intended clinical and operational outcomes. - Prepare written reports, presentations, and recommendations for government clients and senior stakeholders. Qualifications - Master's Degree in Clinical Informatics, Biomedical Informatics, Health Informatics, Nursing Informatics, or a related clinical or health information science field. - Minimum of 5 years of experience in clinical informatics or a directly related discipline. - Demonstrated experience supporting the implementation or optimization of clinical information systems, including EHR platforms. - In-depth knowledge of clinical workflows, healthcare delivery processes, and patient care environments. - Experience with clinical decision support (CDS) design, build, and governance. - Proficiency with electronic health record (EHR) systems such as VistA, Cerner Millennium, Epic, or equivalent platforms. - Familiarity with clinical terminology standards including SNOMED CT, LOINC, ICD-10, CPT, and RxNorm. - Knowledge of health information exchange standards including HL7 v2, HL7 FHIR, and CDA. - Strong analytical skills with the ability to evaluate clinical system performance and recommend evidence-based improvements. - Excellent written and verbal communication skills, with the ability to engage both clinical and technical audiences. - Familiarity with quality improvement methodologies (e.g., Lean, Six Sigma, PDSA cycles) as applied in healthcare settings. Preferred Qualifications - Experience working with the Veterans Health Administration or a similar federal health agency (CDC, CMS, DHA, HHS, etc.). - Active security clearance or ability to obtain one. - American Medical Informatics Association (AMIA) certification (e.g., FAMIA, ABPM Board Certification in Clinical Informatics). - Clinical background or licensure (e.g., RN, MD, PharmD, or allied health credential). - Familiarity with VistA, CPRS (Computerized Patient Record System), and/or VA's EHR Modernization (EHRM) program with Cerner/Oracle Health. - Experience with Agile or SAFe methodologies in a federal health IT program. - Knowledge of the VA/DoD health information sharing environment and Joint Legacy Viewer (JLV). - Experience developing or evaluating clinical quality measures aligned with CMS, Joint Commission, or VA performance frameworks. Benefits - Health, Dental, and Vision Plans - Short Term Disability / Long Term Disability / Life Insurance / Accidental Death and Dismemberment - Health Savings Account - Unlimited Paid Time Off - 11 Federal Holidays Off - 401k Company Description We are committed to diversity, inclusion, and accessibility. We are an Equal Opportunity Employer in all aspects of employment and do not discriminate for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

United States