RN Nurse Navigator- Hybrid San Francisco, Dallas, or NYC
World Class Health
Company: World Class Health (WCH)
Location: Hybrid- Dallas, San Francisco, New Jersey, New York
Reports to: SVP of Operations
Compensation: 80-95k based on experience
We 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 traveling to our Centers of Excellence (COEs) worldwide. 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.
What You’ll Do Patient 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 activities
- Ensure 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 Qualifications- RN (BSN or equivalent) with 5+ years clinical experience, preferably managing surgical patients (Orthopedics, Bariatrics, Neuro, Outpatient Surgery, Occ Med, or related)
- 2+ years of case management experience
- 1+ year of start up experience
- 3+ years of remote working experience
- Tech savvy; Strong proficiency in google suite (gsheet, gdoc, etc) and comfortable/excited by the use of AI to improve efficiency
- Comfort coordinating across multiple providers and care settings, including COE models
- CCM certification
- Prior coordination within a Centers of Excellence program
- Salesforce experience
- Multicultural exposure or medical travel familiarity.
- Bilingual (Spanish/Hindi) a plus.
Skills & Traits- Builder mindset—comfortable testing, learning, and iterating.
- Tech savviness
- Relentless 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).