Arlo
Healthcare
SeniorCaseManager
Neural analysis suggests this role is
optimal for Senior candidates.
“Senior Case Manager at Arlo. Skills: Case management, Care coordination, Clinical nursing. Review claims data. Review prior authorizations”
Industry & Context.
What They're Looking For.
Must Have
5+ years clinical nursing, Active RN license, Comfort reading claims data, Comfort reading prior auth criteria, Comfort reading clinical documentation, Self-directed, Comfort working fast-moving environment
Nice to Have
Active unrestricted RN multi-state compact license
What You'll Do.
Review prior authorizations
Review admission/discharge feeds
Identify members needing help
Conduct clinical assessments
Build individualized care plans
Coordinate with specialists
Coordinate with hospitals
Coordinate with post-acute providers
Ensure care plans executed
Support members through episodes
Partner with utilization management
Contribute to protocols
Contribute to escalation pathways
Contribute to tooling
Maintain regulatory compliance
Maintain accreditation standards
How You'll Work.
Team & Collaboration
Foundational member clinical team; Partner with utilization management
Communication Scope
Communicate warmly; Hold own with specialist; Meet member where they are
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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