Clinical Care Specialist

The role

The Clinical Care Specialist is a registered nurse who engages members with surgical benefits to guide them to high-quality providers. They support members across five service lines including spine, orthopedics, joint replacement, gynecology, and bariatric surgery.

What you will do

• Conduct proactive outreach to eligible members to introduce the surgical benefit.
• Guide members to the appropriate Center of Excellence provider.
• Apply specialty knowledge to answer clinical questions regarding surgery.
• Review member information to confirm provider recommendations are clinically appropriate.
• Educate members and families on surgical preparation, recovery, and discharge instructions.
• Serve as a clinical resource for internal care advocates and customer care teams.
• Collaborate with Lantern Clinical Leadership and the Medical Advisory Board on complex cases.
• Support ongoing training of frontline care advocates.
• Assess member understanding to ensure effective engagement and informed decisions.

Required qualifications

• Registered Nurse with an active Texas or NY state license in good standing.
• Med-surg background with office/clinic experience in bariatric, GYN, ortho, joint replacement, spine, or pain mgmt.
• Prior customer service, call center, member engagement, or patient-facing communication experience.
• Excellent verbal communication, with empathy, active listening, and the ability to build rapid rapport by phone.
• Ability to explain complex clinical information in clear, plain language.
• Strong critical thinking and problem-solving skills.
• Comfort with outbound calling and motivating members.
• Strong command of medical terminology, anatomy, and physiology.
• Proficiency in Microsoft Office (Word, Excel, Outlook, Teams).
• Ability to document in CRM or care management systems.
• Ability to work with data sources and reports.
• Knowledge of healthcare regulations and compliance standards.

Nice to have

• unencumbered ability to hold a license in all fifty states
• BSN
• Licensed Practical Nurse or Medical Assistant with active Texas or NY state license in good standing
• Nurse navigation, case management, or UR
• Bilingual (English/Spanish)

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short & Long Term Disability
• Life Insurance
• 401k with company match
• Paid Time Off
• Paid Parental Leave

About the company

Lantern is a specialty care platform that connects people with a Network of Excellence of specialists for surgery, cancer care, and infusions. The company delivers care with cost savings to employers and pairs members with dedicated care teams.