Clinical Care Specialist

Lantern•Dallas, NY

12d•Hybrid

About The Position

Lantern is a specialty care platform that connects people with specialist providers through a Network of Excellence for surgery, cancer care, infusions, and other services. It also provides members with dedicated care teams and serves more than 6 million members nationwide. The Clinical Care Specialist is a registered nurse who proactively engages members eligible for Lantern’s surgical benefit and guides them to high-quality providers in its Centers of Excellence (COE). The role supports 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 a provider, and prepare for surgery. The position contributes to better clinical outcomes and member experiences, as well as 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 in the office per week. 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; ability to hold an unencumbered license in all 50 states is preferred.
Med-surg background with office or clinic experience in bariatric, 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 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 (Word, Excel, Outlook, 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.
Maintain strict confidentiality and adhere to HIPAA and applicable regulatory and compliance standards.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Unencumbered ability to hold a nursing license in all 50 states.
Licensed Practical Nurse or Medical Assistant with an active Texas or New York license in good standing will also be considered.
Nurse navigation, case management, or utilization review experience.
Bilingual English/Spanish.

Responsibilities

Conduct proactive outreach to eligible members to introduce the surgical benefit, explain its value, and encourage engagement.
Guide members to an appropriate Center of Excellence provider based on 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 that provider recommendations are clinically appropriate.
Educate members and families about surgical preparation, recovery, and following discharge instructions.
Serve as a clinical resource for care advocates and customer care teams on provider selection and specialty-specific questions.
Collaborate with Clinical Leadership and the Medical Advisory Board on complex or escalated cases.
Support training for frontline care advocates on the surgical care landscape.
Assess member understanding throughout the process to support effective engagement and informed decisions.
Handle a high volume of inbound and outbound member calls with empathy, professionalism, and a focus on quality provider recommendations.
Meet or exceed engagement, conversion, and quality metrics, and document interactions accurately and on time.
Identify trends, barriers, and opportunities to increase member selection of COE providers and share insights with leadership.
Collaborate across teams to ensure members receive clear, consistent, and accurate information.
Maintain confidentiality and follow HIPAA and applicable regulatory and compliance standards.
Manage time and priorities effectively in a fast-paced environment.