Care Navigation Nurse Manager

Hi, we’re Gravie. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.

A Little More About The role:

The Care Navigation Nurse Manager provides both strategic and operational leadership to Gravie’s Care Navigation team. This role is responsible for overseeing daily operations, managing team performance, and driving initiatives that improve member engagement, satisfaction, and health outcomes. The Clinical Nurse Manager ensures the team operates efficiently and effectively to support the organization’s overall quality, clinical excellence, and cost management goals.

This position combines clinical expertise with operational acumen to guide a team that helps members navigate the healthcare system, reduce barriers to care, and achieve better health outcomes.

You will:

·       Oversee the day-to-day operations of the Care Navigation team, ensuring consistent delivery of high-quality service and support.

·       Monitor team performance, providing coaching, feedback, and professional development to drive continuous improvement.

·       Foster a collaborative, supportive, and high-performing team culture aligned with Gravie’s values.

·       Oversee policy development and management within Care Navigation to ensure consistent processes and standards.

·       Lead outreach efforts that reduce barriers to care and improve access to essential services.

·       Enhance member satisfaction through proactive communication, education, and advocacy.

·       Ensure members receive coordinated, personalized care navigation that supports positive health outcomes.

·       Maintain compliance with all regulatory, accreditation, and internal policy standards.

·       Track, analyze, and report measurable outcomes to demonstrate program value and identify opportunities for improvement.

·       Collaborate with leadership to design, implement, and refine workflows, policies, and quality assurance processes.

·       Partner with Stop Loss, Underwriting, Utilization Management, and Vendor Management teams to align clinical strategy with financial risk mitigation.

·       Support the proactive identification and management of High Cost Claimants (HCCs) through claims analysis, predictive modeling, and clinical data review.

·       Track and report HCC management outcomes including cost savings, member experience, and clinical quality.

·       Build and maintain strong relationships with internal and external stakeholders to ensure alignment and optimize program effectiveness.

·       Identify trends, gaps, and process inefficiencies; recommend and implement solutions to enhance operational performance and care quality.

·       Leverage data and analytics to inform strategic decisions and evaluate program impact.

·       Drive innovation within Care Navigation to improve outcomes, satisfaction, and cost control

You bring: 

·       Active, unrestricted Registered Nurse (RN) license required. Bachelor’s degree in Nursing (BSN) preferred.

·       8+ years of nursing experience, including at least 3 years in a leadership or management role.

·       Experience in a health plan, third-party administrator (TPA), or managed care organization strongly preferred.

·       Proven track record of managing teams and driving performance in clinical or care coordination settings.

·       Strong organizational and project management skills.

·       Excellent relationship-building and communication abilities.

·       Proficiency in data analysis and vendor performance dashboards.

·       Knowledge of healthcare quality, utilization management, and medical cost containment.

·       Comfortable working in a fast-paced, evolving environment.

Gravie: 

In order to transform health insurance and build a health plan everyone can love, we need talented people doing amazing work. In exchange, we offer a great overall employee experience with opportunities for career growth, meaningful mission-driven work, and an above average total rewards package.

The salary range for this position is $96,000 - $160,000 annually. Numerous factors including, but not limited to, educations, skills, work experience, certifications, etc. will be considered when determining compensation.  

Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, cell phone reimbursement, transportation perks, education reimbursement, and 1 week of paid paw-ternity leave. 

A Little More About Us:

At Gravie, we're on a mission to reinvent health benefits for small and midsize businesses—making high-quality, affordable healthcare accessible to employers and their employees. We believe better benefits lead to better lives, and we’re building the future of health benefits to reflect just that.

We’re proud to be the only company offering both innovative level-funded health plans and a market-leading ICHRA solution, giving employers more choice and flexibility than ever before.

And guess what? Our customers love us. With member and employer satisfaction rates consistently trending above 80%, we know our health plans are working the way they should. Backed by some of the most sought-after investors in the country, we have the resources and long-term support to build something truly transformative—and we’re just getting started.

At Gravie, we do things differently. We’ll challenge you, and we’ll welcome you challenging us. Good ideas are everyone's job here. You’ll join a team that’s smart, mission-driven, and unafraid to push boundaries if it means making a bigger impact for the people we serve.

If you're energized by a high-performance, high-trust environment where your voice matters, Gravie might be just the place for you.