Registered Nurse (RN) Care Advocate — Patient Navigation

Job description

Location: Remote (U.S.-based) Commitment: 20 hours/week minimum, up to 40 hours/week Type: 1099 independent contractor ABOUT MIRAMACE MiraMace is a venture-backed company on a mission to help Medicare patients navigate a complicated healthcare system with clarity and confidence. We pair people-centered navigation with technology to make sure patients understand their care, stay connected to their providers, and get to the resources they need. We deliver Medicare-covered Community Health Integration (CHI) and Principal Illness Navigation (PIN) services through our affiliated provider organizations. Our Care Advocates are the human heart of that work — the consistent, trusted point of contact who helps patients actually follow through on their care. ABOUT THE ROLE As a Care Advocate, you'll be at the center of a patient's navigation journey. After a patient completes an initial visit with a clinical lead, you become their go-to support: helping them understand their care plan, schedule appointments, communicate with providers, navigate insurance, and connect to community resources for needs like food, housing, and transportation. This is non-clinical navigation support provided under the general supervision of the patient's billing provider. You won't be giving medical advice — you'll be removing the friction that keeps patients from getting the care they're entitled to. You'll juggle multiple patients at once, so the people who thrive in this role can hold breadth across many open situations without losing the thread on any single one. WHO YOU ARE - You genuinely care about older adults and people facing barriers to care, and you bring patience, warmth, and respect to every interaction. - You're organized and self-directed — you can prioritize across a full caseload, follow through, and keep clean documentation without being chased. - You're comfortable with technology and learn new tools quickly (EHRs, CRMs, messaging and scheduling platforms). - You're a strong communicator who can build trust over the phone and explain confusing things simply. - You stay calm in ambiguity and take initiative to solve problems. WHAT YOU'LL DO - Serve as the primary point of contact for patients after their intake visit. - Help patients understand and act on their care plan — scheduling appointments, finding in-network providers, and using their Medicare benefits. - Resolve navigation friction: portals, referrals, appointment logistics, forms, and provider communications. - Identify practical and social-needs support (food, housing, transportation, etc.) and connect patients to available resources. - Coordinate with clinical team members involved in a patient's care, while providing non-clinical support only. - Document every patient interaction and support activity in our platform, accurately and on time. - Maintain confidentiality and comply with HIPAA, privacy, and all applicable platform standards. QUALIFICATIONS Required - Active, unrestricted RN license in good standing. - 3+ years of nursing or patient-facing experience (care coordination, case management, member advocacy, health coaching, benefits navigation, or similar). - Working knowledge of the U.S. healthcare system and Medicare. - Comfort working independently, managing a caseload, and maintaining strong documentation. - Reliable computer, internet, and a quiet space for patient calls. Preferred - Experience supporting older adults or patients with complex or serious illness. - Familiarity with Medicaid and other public programs. - Bilingual — Spanish, Mandarin, or another language common among Medicare patients. THE ARRANGEMENT This is a remote, 1099 independent contractor role. We're looking for advocates who can commit at least 20 hours per week, with the opportunity to work up to 40, generally during core business hours (9:00 a.m.–5:00 p.m. ET, Monday–Friday). Consistent weekday availability helps us provide continuity to patients, which is the whole point. As an independent contractor, you are responsible for your own taxes, and this is not a benefitted role. RATE $35–$41 per hour, depending on experience, qualifications, availability, and language skills. Compensation covers approved service time, including patient support, documentation, and required administrative communications.