Clinical Care Specialist

Lantern; Dallas, New York (TX, NY); Hybrid; USD 85,000 - 95,000; Full time

Benefits offered by this job

Medical Insurance

Vision Insurance

Short & Long Term Disability

Life Insurance

401k with company match

Paid Time Off

Job summary

Lantern is seeking a Clinical Care Specialist - RN to proactively engage members with the surgical benefit and guide them to high-quality providers nationwide.

The role supports COE selection, explains surgical processes, and ensures compliant, empathetic member interactions. Hybrid Dallas or New York locations offered with a 3x in-office schedule.

Qualifications

• Registered Nurse with an active Texas or NY license in good standing (BSN preferred).
• Licensed Practical Nurse or Medical Assistant with active Texas or NY license considered.
• Med-surg background with bariatric, GYN, ortho, joint replacement, spine, or pain mgmt.
• Nurse navigation or UR experience a plus.
• Prior customer service or patient-facing communication experience.
• Excellent verbal communication with empathy and active listening.
• Ability to explain complex clinical information in clear language.
• Familiarity with HIPAA and healthcare regulations.
• Bilingual (English/Spanish) preferred but not required.

Responsibilities

• Conduct proactive outreach to eligible Lantern members to introduce the surgical benefit and engagement.
• Guide members to COE providers based on clinical needs and network quality.
• Explain what to expect before, during, and after surgery using clinical knowledge.
• Review member data to ensure provider recommendations are clinically appropriate.
• Educate members and families on surgical prep, recovery, and discharge instructions.
• Serve as a clinical resource for internal care advocates and customer care teams.
• Collaborate with Lantern Leadership and Medical Advisory Board on complex cases.
• Support training of frontline care advocates on the surgical landscape.
• Assess member understanding to ensure informed decisions.

Skills

RN license

Customer service

Verbal communication

Medical terminology

HIPAA compliance

Bilingual (English/Spanish)

Education

Active RN license (TX/NY)

BSN preferred

Tools

Microsoft Office

CRM systems

Job description

Dallas, TX - Hybrid (3x in office/week); New York, NY - Hybrid (3x in office/week)

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

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 thisLIGHT, individuals can find their way to the best care, resources, and support they need to get back to life.

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.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Lantern’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information to measurethe effectiveness the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.