The Role
Own a member panel, triage inbound clinical questions, coordinate referrals and appointments, provide proactive care outreach, document interactions, and escalate decisions under physician supervision. The role is fully remote and message-based, with approximately 25% dedicated to improving Rovi’s clinical navigation product and protocols.
Summary Generated by Built In
About Rovi Health
The Role
What You’ll Do
Who We’re Looking For
Compensation & Benefits
Rovi is an AI-powered care concierge and virtual clinic for employer health plans. We monitor clinical data in real time, catch expensive care before it gets scheduled, and redirect members to higher-quality, lower-cost options. When someone has a condition we can treat directly, we do that through our own virtual clinic.
The problem we’re solving: in-network prices for the same procedure vary up to 10x within a single zip code. A hospital MRI costs $3,000. The independent imaging center ten minutes away charges $500. Same scan, same quality. But nobody tells the patient, the doctor doesn’t know the price, and the employer won’t see the claim for months. So the expensive option wins by default, every time.
Rovi changes that. We deliver high-quality care to member before they choose the expensive or low-quality default. Our AI-native clinic allows us to treat and navigate care, meaning we can reduce outpatient spend by over 30% while improving health outcomes.
We’re live with 50,000 patients today and adding thousands more each month. We’re backed by Y Combinator, Lightspeed, Gradient (Google’s AI fund), Liquid 2 (Joe Montana), and others.
You’ll join a small team of Nurse Navigators at Rovi and own execution of clinical navigation for individual members. You’ll build ongoing relationships with members, understand their needs, guide them to the right care, and make sure they follow through on their care plans and next steps.
Our navigation platform brings together member data and recommendations so you can focus on the work that requires clinical judgment and relationship building. You’ll review and act on those recommendations, handle inbound clinical questions, manage members’ care across providers, and proactively engage members throughout the year. Administrative work like scheduling and provider calls is supported by our care coordination team.
You’ll also play an important role in improving how we deliver care by surfacing gaps in our workflows, member experience, and product.
This is a fully remote role with the option to work in-person at our NY office. All member interaction is virtual with no in-person care component.
Triage inbound clinical questions
Members text us with symptoms, questions, and requests. You will assess urgency, determine the appropriate next step, provide guidance, and route them accordingly. This will range from helping members navigate routine questions to recognizing when a member needs urgent or emergency care and actively guiding them to the appropriate care.
Navigate members to the right care
When someone needs a specialist, imaging, or procedure, you find the best option on quality and cost, get the appointment booked, and follow through until the request is complete. Our navigation platform makes this process smooth, so you can focus on applying your judgement and tailoring the care journey for the patient.
Manage proactive member care
You will review data-based recommendations, build and update member care plans, and proactively engage members throughout the year. When a member has a new diagnosis, an open referral, or another care need, you make sure the right next step is happening and continue following their progress over time.
Work within a supervised clinical structure
You’ll document interactions clearly and work within established clinical workflows and guardrails, escalating unfamiliar, sensitive, or clinically complex situations when needed. You’ll work at the intersection of clinical judgment and technology, using Rovi’s platform to deliver consistent, high-quality care navigation.
Help improve how we deliver care
You’ll have a frontline view into what works and what doesn’t. You’ll surface gaps in workflows, member experience, and our product, and work with the broader team to continuously improve how we deliver care.
- 3+ years of experience with meaningful time in care coordination, case management, population health, or telehealth
- Strong clinical documentation - you can explain a care gap to a member in plain language
- Comfortable working asynchronously in message-based workflows - you don’t need a phone call to manage a patient well
- BSN preferred; ADN considered with strong care coordination or case management experience
- Active RN license; NLC compact licensure required, NY and CA required or willing to obtain
- Helpful but not required: CCM or ACM certification, Spanish fluency
- Competitive compensation ($50 / hour; 1099 contract)
- Fully remote; option to work in-person in NY office
- Wellness stipend
Skills Required
- 3+ years of experience, including meaningful experience in care coordination, case management, population health, or telehealth
- Strong clinical documentation skills and ability to explain care gaps in plain language
- Comfort working asynchronously in message-based workflows
- Active RN license
- NLC compact licensure
- New York and California licensure, or willingness to obtain
- BSN degree
- ADN degree with strong care coordination or case management experience
- CCM or ACM certification
- Spanish fluency
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The Company
What We Do
Rovi Health is an AI-powered healthcare concierge that helps employees in self-funded plans access high-quality, cost-effective care via text. The platform utilizes AI agents to analyze clinical data, treat common conditions through virtual care, and navigate complex care by identifying the best in-network providers and handling end-to-end appointment booking, ultimately reducing overall healthcare spend for employers.
