Clinical Care Specialist

About Lantern

Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com. 

Clinical Care Specialist - RN

The Clinical Care Specialist is a registered nurse who proactively engages Lantern members who have the surgical benefit and guides them to high-quality providers within our Centers of Excellence (COE). Navigators support members across our five service lines: spine/pain management, orthopedics, joint replacement, gynecology, bariatric surgery. They combine clinical expertise with a service-oriented approach, helping members understand their options, feel confident in their choice of provider, and prepare for a successful surgical journey.

By guiding members to proven, high-quality providers, this role drives better clinical outcomes and member experience, and delivers meaningful cost savings for employers and payors.

Location: Dallas, TX or New York, NY - Hybrid schedule (3x in office per week)

Responsibilities:

• Conduct proactive outreach to eligible members to introduce the Lantern surgical benefit, explain its value, and encourage engagement.
• Guide members to the appropriate Center of Excellence (COE) provider based on their clinical needs, preferences, and the quality of the provider network.
• Apply specialty knowledge to answer clinical questions and explain what to expect before, during, and after surgery.
• Review member information to confirm that provider recommendations are clinically appropriate.
• Educate members and their families on surgical preparation, recovery, and the importance of following discharge instructions.
• Serve as a clinical resource for internal care advocates and customer care teams on provider selection and specialty-specific questions.
• Collaborate with Lantern Clinical Leadership and the Medical Advisory Board on complex or escalated cases.
• Support ongoing training of frontline care advocates on the surgical care landscape.
• Assess member understanding throughout the process to ensure effective engagement and informed decisions.

Requirements:

• Registered Nurse with an active Texas or NY state license in good standing, with unencumbered ability to hold a license in all fifty states preferred. (BSN preferred)
• Licensed Practical Nurse or Medical Assistant with active Texas or NY state license in good standing with unencumbered ability to hold a license in all fifty states considered.
• Med-surg background with office/clinic experience in bariatric, GYN, ortho, joint replacement, spine, or pain mgmt.
• Nurse navigation, case management, or UR a plus.
• 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 with members by phone.
• Ability to explain complex clinical information in clear, plain language.
• Strong critical thinking and problem-solving skills for navigating complex member situations.
• Comfort with outbound calling and with motivating members toward informed decisions.
• Strong command of medical terminology, anatomy, and physiology.
• Proficiency in Microsoft Office (Word, Excel, Outlook, Teams) and in documenting in CRM or care management systems.
• Ability to work with data sources and reports to inform member conversations.
• Knowledge of healthcare regulations and compliance standards.
• Bilingual (English/Spanish) preferred but not required.

Strong Candidates will:

• Manage a high volume of outbound and inbound member calls with empathy, professionalism, and a focus on quality-driven provider recommendations.
• Meet or exceed engagement, conversion, and quality metrics set by management, and document member interactions accurately and on time.
• Identify trends, barriers, and opportunities to increase member selection of COE providers, and share insights with leadership.
• Collaborate cross-functionally to ensure members receive clear, consistent, and accurate information.
• Maintain strict confidentiality and adhere to HIPAA and all applicable regulatory and compliance standards.
• Manage time and priorities effectively in a fast-paced environment.

Benefits

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

Compensation: Base salary range: $85,000 - $95,000 plus bonus, depending on relevant experience, location, and qualifications.

About You:

• You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins. 
• INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
• You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas. 
• You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
• Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear. 
• You thrive in a Team Environment. Collaboration is key in innovation and creating change.

These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life. 

If this sounds like you, we would love to connect to speak further about career opportunities at Lantern.

Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process.

Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.