Nurse Navigator (RN)- Hybrid role

Nurse Navigator (RN)- Hybrid role SF/Bay Area OnlyCompany: World Class Health (WCH)Location: Hybrid- Bay Area- flexible hours in the am to cover EST periodicallyReports to: SVP of OperationsCompensation: 140k + bonus based on experienceWe are a global Center of Excellence network helping self-insured employers save up to 50% on surgical and specialty care. By partnering with a hand-selected U.S. and international provider network, we deliver superior outcomes, predictably lower costs, and an elevated patient journey through rigorous quality standards, upfront bundled pricing, and medically-led navigation.Role SummaryYou'll coordinate end-to-end episodes of care—primarily surgical—for employees and dependents using our COE network of top quality providers. You'll deliver remote case management (pre-op through post-op), keep patients and stakeholders informed, and ensure safe transitions of care. As an early team member, you'll also contribute to the clinical operating system of a fast-moving startup leveraging AI and clinical expertise to serve our patients.What You'll DoPatient Care & Case Management Manage a caseload of surgical patients from inquiry through post op recovery.Obtain health histories from patients and required medical records from provider offices for review and submission to appropriate specialist(s) for consultation and treatment recommendation.Guide patients through COE selection, scheduling, pre-op readiness, and travel logistics (with interpreter services as needed).Monitor during travel and admission; keep designated contacts updated.Support adherence to COE provider care plan before and after surgery with regard to medications, rehabilitation, and diet.Educate patients to improve patient activation and support self care activitiesEnsure timely communication among COE teams, PCPs, and plan stakeholders; deliver discharge summaries/op notes.Track recovery, surface issues early, and close the loop on outcomes and experience.Assesses patient's medical, social and functional needs before and during transitions of care and tailor care coordination accordingly.Common procedures supported include cancer, infusions, orthopedic, bariatric, GI, gynecologic, cardiac, and other surgical interventions.Required QualificationsRN with an active license3-5+ years clinical experience, preferably managing surgical patients (Orthopedics, Bariatrics, Neuro, Outpatient Surgery, Occ Med, or related)2+ years of case management experience1+ year of start up experience3+ years of remote working experienceAble to be in office in SF up to 6 days a monthTech savvy; Strong proficiency in google suite (gsheet, gdoc, etc) and comfortable/excited by the use of AI to improve efficiencyComfort coordinating across multiple providers and care settings, including COE modelsPreferred QualificationsCCM certificationPrior coordination within a COE programSalesforce experience is a plusMulticultural exposure or medical travel familiarity.Bilingual (Spanish/Hindi) a plus.Skills & TraitsBuilder mindset—comfortable testing, learning, and iterating.Tech savvinessRelentless ownership to support patients end-to-end.Excellent organization, documentation, and time management; able to juggle multiple cases.Creative problem-solver; collaborative, positive, and flexible (occasional evenings/weekends).