Arlo

Healthcare

SeniorCaseManager

₹12–18L ~AI est. Remote FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Senior candidates.

The Brief

“Senior Case Manager at Arlo. Skills: Case management, Care coordination, Clinical nursing. Review claims data. Review prior authorizations”

Industry & Context.

Healthcare
Problems you'll solve

Think clinically

What They're Looking For.

Must Have

5+ years clinical nursing experience, Active, unrestricted RN multi-state compact license, Comfort reading claims data, Comfort reading prior auth criteria, Comfort reading clinical documentation, Self-directed

Nice to Have

Relevant experience in case management, Relevant experience in utilization management, Relevant experience in care coordination, Relevant experience in discharge planning, Comfort working in fast-moving environment

What You'll Do.

Review prior authorizations

Review admission/discharge feeds

Spot members who need help

Work directly with members

Conduct clinical assessments

Build individualized care plans

Coordinate with specialists

Coordinate with hospitals

Coordinate with post-acute providers

Ensure care plans are executed

Support members through complex episodes

Partner with utilization management workflows

Contribute to protocols

Contribute to escalation pathways

Contribute to tooling

How You'll Work.

Team & Collaboration

Clinical team; Utilization management workflows

Communication Scope

Communicate warmly

Full Job Description

Most of what makes American healthcare expensive isn’t medical care. It’s the machinery wrapped around it: middlemen taking a cut, fraud nobody stops, and billing systems designed to fight over payment instead of deliver care. The result is higher premiums, denied claims, surprise bills, and a system patients increasingly experience as adversarial. Arlo is rebuilding health insurance for small businesses from first principles: making sure as much of every premium dollar as possible goes to care instead of getting absorbed by the system around it. We do that by identifying fraud earlier, steering members toward higher-quality and lower-cost care, automating operational overhead, and eliminating vendors whose business exists mostly to take a cut. AI is the foundation that makes this work. We use it across underwriting, operations, clinical programs, and member experience to build an insurer that becomes more efficient as the technology improves. We’re already operating at meaningful scale: profitable, hundreds of millions in premiums, tens of thousands of members covered, and growing quickly through brokers, employers, and partners. Backed by Upfront Ventures, 8VC, and General Catalyst, with a team from Palantir, YC companies, and longtime healthcare operators. ABOUT THE ROLE We're hiring our first Senior Case Manager to own the medical journeys of our members. You'll review claims data, prior authorizations, and admission/discharge feeds to spot members who need help, then work directly with them and their providers to make sure the right care happens at the right time. This is a role for an experienced RN who can think clinically, communicate warmly, and operate independently - equal parts clinical judgment and hands-on coordination. You'll be a foundational member of our clinical team, with real influence over how we build our case management program from the ground up. WHAT YOU WILL DO - Review claims, prior auth requests, and ADT (admission/discharge/transfer) da

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