Senior Case Manager (RN)

Most of what makes American healthcare expensive isnt medical care. Its 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.

Were 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.

Were hiring our first Senior Case Manager to own the medical journeys of our members. Youll 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.

Youll be a foundational member of our clinical team with real influence over how we build our case management program from the ground up.

• Review claims prior auth requests and ADT (admission/discharge/transfer) data to identify members who would benefit from case management

• Conduct clinical assessments and build individualized care plans with members

• Coordinate directly with PCPs specialists hospitals and post-acute providers to ensure care plans are executed and gaps are closed

• Support members through complex episodes new diagnoses hospitalizations transitions of care and chronic condition management

• Partner with our utilization management workflows on medical necessity questions and appropriate level of care

• Help us build the playbook: contribute to protocols escalation pathways and the tooling we use to do this work well

• Document thoroughly and maintain compliance with applicable regulatory and accreditation standards

• Active unrestricted RN license; multi-state compact license strongly preferred

• 5 years of clinical nursing experience with relevant experience in case management utilization management care coordination or discharge planning

• Comfort reading and interpreting claims data prior auth criteria (MCG/InterQual) and clinical documentation

• Strong communication skills you can hold your own with a skeptical specialist and also meet a member where they are

• Self-directed; you can run your panel without someone over your shoulder

• Comfort working in a fast-moving environment where processes are still being built

• 30 minute call with Rachelle (Talent Lead)

• 45-minute introductory call with Karthik (Co-Founder/ COO & CTO)

• Take-home case study

• 30-min call with Jan-Felix (CEO/ Co-Founder)

• Reference Calls

$90000-$110000 base salary

• High ownership: Youll get real responsibility from day oneour high-trust team empowers you to run with big problems and shape core parts of the company.

• Join an important mission: Your work directly influences how people access care and improves lives at scale.

• Growth & expansion: Were moving fast and as we grow your scope will grow with usnew challenges bigger opportunities and rapid career velocity.

• Apply AI to a problem that matters: Instead of optimizing ads or cutting labor costs youll use AI to fundamentally reimagine how people get healthcare.

• High pace high collaboration: We operate with velocity first-principles thinking and a team that works closely openly and with ambition.

Exact compensation inclusive of salary and any bonuses is determined based on a number of factors including experience and skill level location and qualifications which are assessed during the interview process.

Arlo is an equal opportunity employer. We do not discriminate based on age race color creed or religion national origin sexual orientation gender identity or expression military status sex disability predisposing genetic characteristics marital status familial status status as a victim of domestic violence or arrest or conviction record as defined under New York State law.

Your safety matters to us. If youre selected to move forward in our hiring process youll hear directly from a member of our Recruiting team via an @ email address. We will never ask for personal or financial information outside of our formal onboarding process. When in doubt please reach out to us to verify at: .

Required Experience:

Manager