Rightway
Rightway is a technology and services company radically simplifying healthcare for clients and members. Its care navigation and new-to-the world PBM platform reimagine the member experience, generate industry-leading engagement, and significantly reduce total cost-of-care.
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ABOUT THE ROLE:
Under the general supervision of the Sr. Clinical Manager, the Clinical Guide Behavioral Health RN performs clinical triage, high-risk outreach, condition support, care planning, clinical education, and care coordination to support Rightway members in navigating and accessing care.
This role supports members across both behavioral and physical health needs, including conditions such as anxiety, depression, and chronic disease. The RN serves as a trusted clinical advisor, guiding members to high-quality, appropriate care with the goal of improving clinical outcomes, enhancing the member experience, and reducing unnecessary healthcare utilization (e.g., avoidable ED visits) while promoting appropriate care settings such as primary care and behavioral health services.
WHAT YOU'LL DO:
- Perform clinical triage using evidence-based protocols and algorithms to assess member needs and direct them to the appropriate level of care safely and efficiently
- Conduct proactive, data-driven outreach to high-risk, high-cost, rising-risk members and those with identified care gaps
- Engage members in clinical and behavioral health conversations to assess needs, risks, preferences, and barriers to care
- Provide behavioral health support, including education on conditions such as anxiety, depression, and stress-related disorders
- Conduct suicide risk assessments and apply de-escalation techniques when appropriate
- Identify and address barriers preventing members from accessing preventive, primary care, and behavioral health services
- Deliver clinical navigation support, including:
- Coordinate completion of screenings and follow-up care for high-risk members
- Accurately document symptoms, assessments, clinical guidance, and member responses in a timely manner
- Act as a member advocate and trusted healthcare advisor, supporting members throughout their care journey
- Promote a high-quality member experience and retention through longitudinal engagement and education
- Collaborate cross-functionally with Navigation and internal teams to ensure seamless, coordinated care delivery
- Maintain a member-centric, customer-driven approach in all interactions
- Practice within RN scope, adhering to established care navigation protocols and clinical guidelines
WHO YOU ARE:
- RN with ADN or BSN degree
- Must have an active, unrestricted Registered Nurse (RN) multi-state license and resides in a compact state
- Holds a Psychiatric Mental Health Nursing Certification (PMH-BC)
- 5+ years of nursing experience, including:
- Experience with suicide risk assessment and de-escalation techniques
- Experience in population health, disease management, or care management preferred
- Chronic condition support experience preferred
- Strong ability to engage members in both behavioral health discussions
- Skilled in care coordination, patient education, and navigating complex healthcare systems
HOURLY RATE: $34.00-$40.86
CYBERSECURITY AWARENESS NOTICE
In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.
ABOUT RIGHTWAY:
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with a satellite office in Denver. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
HOW WE LIVE OUR VALUES TO OUR TEAMMATES:
We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:
1) We are human, first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
4) We cultivate grit
Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.
Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.
Ready to apply?
Apply to Rightway
This role is located in our Denver Tech Center Office, with a hybrid schedule of 2 days onsite and 3 days remote.
ABOUT THE ROLE:
Under the general supervision of the Sr. Clinical Manager, the Population Health RN performs clinical triage, high-risk outreach, condition support, care planning, clinical education, and care coordination functions in supporting Rightway members with navigating, accessing, and best supporting their care needs. The Case Manager RN also serves as a trusted advisor for providing clinical guidance and directing to the most appropriate high-quality care providers with the objective of improving clinical outcomes while also reducing healthcare costs e.g. minimizing ED or other unnecessary care visits while increasing utilization of more appropriate care settings, such as primary care doctors.
WHAT YOU'LL DO:
- Clinical triage to assess the severity of the member’s health concerns using evidence-based protocols and algorithms in directing care to the right healthcare resource in a timely manner without compromising quality or safety
- Leveraging data-driven analytics in conducting proactive outreach to engage members of clinical interest, e.g. e high-risk, high-spend, rising risk, and evidence of care gaps with the objective of engaging and assisting members in making more informed care decisions, supporting across their continuum of care and well-being journey with lifestyle and behavior changes.
- Engage members in clinical conversations to best understand their care needs, assess risks, preferences, and care barriers, and then guide and recommend appropriate next steps to improve health outcomes
- Identify and address barriers preventing members from accessing preventative care or establishing ongoing relationships with primary care providers
- Assist in scheduling appointments, referrals, and follow-up care to close gaps in preventative care and chronic disease support
- Clinical navigation support includes but is not limited to personalized condition education, care options, and planning, care compliance, medication adherence, shared decision support, and care coordination
- Leverages appropriate input and direction from the Rightway clinical lead to determine the best clinical options for more complex member healthcare needs.
- Accurately documents symptoms/complaints, nursing assessment, the guidance provided, and member/caller response.
- Acts in the best interest of the member by being a health advocate and supporter in the member’s healthcare journey.
- Coordinates the completion of screening services for high-risk members by providing care support, adherence follow-up, and care coordination support.
- Member’s trusted healthcare advisor, member experience, and retention focus e.g. longitudinal care education, guidance, and support
- Develops effective collaboration and working relationships across the Navigation team and organization.
- Maintains a member-centric, customer-driven professional attitude.
- Stay within the RN scope of practice by strictly following our care navigation protocols unless directed to do otherwise by a provider on the clinical team and documenting appropriately when a change occurs.
WHO YOU ARE:
- RN, ADN, or BSN degree
- Holds an active and in good standing RN license in a compact state
- 5+ years of direct patient care experience required, preferably in family medicine
- Triage nursing experience desired
- Population health, disease management, or similar experience required
- Care management or chronic condition support experience desired
HOURLY RATE: $34.00 - $40.00
CYBERSECURITY AWARENESS NOTICE
In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.
ABOUT RIGHTWAY:
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with a satellite office in Denver. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
HOW WE LIVE OUR VALUES TO OUR TEAMMATES:
We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:
1) We are human, first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
4) We cultivate grit
Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.
Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.
Ready to apply?
Apply to Rightway