RN Care Guide

Job Description

Summary ‎ Position Title: RN Care Guide Employment Type: Full-Time, Fully Remote Schedule Requirement: 12:30 PM–9:00 PM EST Start Date: July 20, 2026 Training Requirement: 7 weeks, 100% attendance required; no PTO approved during training Holiday Coverage: Must be able to work the day after Thanksgiving, the day after Christmas, and the day after New Year’s Day Job Summary apree health — the combined entity of Castlight and Vera Whole Health — is dedicated to improving healthcare engagement, simplifying care navigation, and reducing overall healthcare costs. We are seeking a full-time, fully remote RN Care Guide to join our Shared Services team, with a strong focus on Complex Case Management and telephonic clinical support. This role supports patients through RN triage, disease education, care planning, care coordination, transition of care management, medication education, ED diversion, and barrier resolution. You will be a key clinical voice helping patients access the right care at the right time.‎ How will you make an impact & Requirements ‎

Responsibilities

Gap Closure & Care Coordination — Identify patients needing follow-up, care coordination, or intervention using provided systems and tools. ED Overutilization Reduction — Provide education and steerage to appropriate levels of care. Telephonic RN Triage — Use standardized protocols (e.g., Schmitt-Thompson) to guide patients to safe, appropriate care. Proactive Outreach — Complete Health Risk Assessments, assess for safety concerns, and connect patients to clinical/community resources. Caseload Management — Manage a high-volume panel and triage queue while maintaining clinical quality and compassion. Care Team Collaboration — Participate in care team meetings to ensure coordinated, appropriate care. Patient Education — Provide disease, medication, and lifestyle education to support patient success. Empathy & Ownership — Deliver compassionate, patient-centered care with a focus on outcomes. Confidentiality Compliance — Adhere to all confidentiality laws and protocols. Cost of Care Awareness — Understand the impact of rising-risk populations on total cost of care. Cross-Functional Collaboration — Work with Care Guides on benefits, referrals, billing, claims, and digital platform issues. Wellness Outreach — Support preventive screenings and health maintenance initiatives. Documentation — Complete timely, accurate documentation in the system of record. Continuous Improvement — Apply feedback from call and documentation reviews. Other duties as assigned. Required Qualifications 4–5 years of relevant clinical experience Experience in care management, RN triage, disease management, care coordination, or primary care preferred BSN or MSN preferred Unencumbered RN license with Compact Licensure required Must provide all required credentialing documentation promptly (licenses, transcripts, immunizations) CPR certification required Bilingual in Spanish is a plus Experience with Athena and NextGen is a plus Familiarity with Schmitt-Thompson triage protocols Experience with EHRs, Salesforce, and Google Suite Knowledge of insurance standards, referral management, prior auths, and medical necessity Familiarity with HEDIS and STAR measures preferred Must maintain a HIPAA-compliant remote workspace with reliable internet and a backup plan Physical & Environmental Requirements Extended periods of sitting, typing, and computer use Occasional lifting up to 50 lbs Normal corrected vision, hearing, and speech Remote work environment meeting HIPAA standards ‎ Compensation: $35.43to $53.15