REMOTE Clinical Operations Registered Nurse - 251171

We are building an AI-powered care team platform designed to create infinitely scalable clinical capacity. By combining advanced AI agents with experienced clinical experts, we expand access to care and improve quality outcomes for healthcare organizations nationwide. We are a rapidly growing, venture-backed organization supported by leading healthcare and technology investors, with portfolio companies spanning digital health, value-based care, Medicare Advantage, primary care enablement, and technology-enabled clinical services.

We are seeking a passionate, versatile nurse to join as a foundational member of our Clinical Operations team. This is a broad-scope “utility player” role ideal for a clinician who thrives at the intersection of direct patient care, clinical operations, and health technology innovation. You will work across a full portfolio of AI-powered care team agents, supporting chronic condition management, care gap outreach, complex prior authorizations, and clinical documentation improvement initiatives. In this role, you will serve as an expert-in-the-loop — the clinical voice ensuring safe, compliant, and high-quality care delivery at scale.

Deliver High-Impact Clinical Work: Conduct care management outreach and chronic condition follow-ups Support care gap closure initiatives Perform virtual and telephonic clinical activities powered by an AI platform Support Complex Clinical Operations Workflows Review and manage prior authorizations and appeals: Complete clinical-administrative tasks requiring professional judgment Ensure medical necessity and documentation accuracy Partner with Product & Engineering: Act as a clinical subject matter expert in workflow design sessions Test and refine new AI agent capabilities Identify edge cases and provide structured feedback to improve automation Provide Quality Oversight: Conduct audits of clinical workflows and care management activities Identify trends, gaps, and opportunities for improvement Develop remediation plans, quality scorecards, and clinical rubrics Develop Clinical Content & Coach Staff: Create protocols, scripts, and decision-support content that power AI agents Train and onboard clinical team members on workflows and quality standards Promote best practices in clinical documentation and compliance