Clinical Care Specialist

Lantern•New York, NY

13d•$85,000 - $95,000•Hybrid

About The Position

The Clinical Care Specialist is a registered nurse who proactively engages Lantern members eligible for the surgical benefit and guides them to high-quality providers within Centers of Excellence (COE). The role supports members across five service lines: spine and pain management, orthopedics, joint replacement, gynecology, and bariatric surgery. Combining clinical expertise with a service-oriented approach, the specialist helps members understand their options, choose providers with confidence, and prepare for a successful surgical journey. By guiding members to proven, high-quality providers, the role supports improved clinical outcomes and member experience while delivering cost savings for employers and payors. The position is based in Dallas, Texas, or New York, New York, with a hybrid schedule requiring three days per week in the office. The specialist handles member outreach and education, provides clinical guidance, supports internal care teams, and collaborates on complex cases. The role also contributes to frontline care advocate training and identifies opportunities to improve engagement with COE providers. Lantern describes its organizational values through the LIGHT pillars: logic, inclusion, grit, humanity, integrity, and teamwork. Compensation is a base salary of $85,000–$95,000 plus bonus, depending on relevant experience, location, and qualifications.

Requirements

Active Texas or New York registered nurse license in good standing; unencumbered ability to hold a license in all fifty states is preferred.
Med-surg background with office or clinic experience in bariatric care, gynecology, orthopedics, joint replacement, spine, or pain management.
Prior customer service, call center, member engagement, or patient-facing communication experience.
Excellent verbal communication, empathy, active listening, and ability to build rapport quickly 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 motivating members toward informed decisions.
Strong command of medical terminology, anatomy, and physiology.
Proficiency in Microsoft Office, including Word, Excel, Outlook, and Teams, and experience 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.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Unencumbered ability to hold a nursing license in all fifty states.
Nurse navigation, case management, or utilization review experience.
Bilingual English/Spanish ability.
An active Texas or New York LPN or Medical Assistant license in good standing is considered.

Responsibilities

Conduct proactive outreach to eligible members to introduce the Lantern surgical benefit, explain its value, and encourage engagement.
Guide members to an appropriate Center of Excellence provider based on their clinical needs, preferences, and provider-network quality.
Use specialty knowledge to answer clinical questions and explain what to expect before, during, and after surgery.
Review member information to confirm provider recommendations are clinically appropriate.
Educate members and their families about surgical preparation, recovery, and 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 support effective engagement and informed decisions.
Manage high volumes of inbound and outbound member calls with empathy, professionalism, and a focus on quality-driven provider recommendations.
Meet or exceed engagement, conversion, and quality metrics, 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 across functions to ensure members receive clear, consistent, and accurate information.
Maintain confidentiality and comply with HIPAA and applicable regulatory and compliance standards.
Manage time and priorities effectively in a fast-paced environment.