Nurse Care Advocate - Maternity/NICU RN
About WIN At WIN, we believe everyone deserves expert, compassionate support through every stage of family life. From preconception and fertility to pregnancy, parenting, menopause, caregiving, and beyond, we’re transforming how people access care during life’s most meaningful moments. For nearly 30 years, we’ve partnered with employers, health plans, and providers to improve outcomes, lower healthcare costs, and support more than 900,000 families around the world. We're investing in our products, our people, and the future of well-being—and we're looking for teammates who are excited to help shape what's next. About This Role WIN is seeking a Telephonic Remote Nurse Care Advocate – Maternity/NICU RN to provide compassionate guidance, support, and comfort to members throughout their care journey. This role helps members understand their care, navigate treatment plans, and feel informed and supported. The Nurse Care Advocate also reviews clinical records, treatment plans, and outcomes to support high-quality care and meet Company and contract requirements. This is a fully REMOTE role. What You’ll Do Consult with members and review medical treatment plans based on WIN medical and contract guidelines, provide risk assessment assistance, and consult with the Medical Director on unusual cases to determine appropriate action. Encourage use of the WIN App to monitor points of care. Review data entered into ATS by Customer Service Agents (CSA) to ensure accuracy and completeness. Discuss the plan of care and clarify, augment, and/or confirm the accuracy of information received from providers to ensure appropriate care, as necessary. Ensure providers are informed of patient needs, treatment modifications, and/or progress when necessary or requested. Handle complex clinical issues or questions and troubleshoot clinical problems for the CSA team. Think strategically across the organization to improve processes and make suggestions for improvements to systems, telephone scripts, and processes. Utilize knowledge of ATS, contract obligations, and best business practices to provide superior service to clients. Review benefit status based on customer plans and eligibility file information prior to engagement of services. Provide telephonic case management, education, and emotional support during the treatment process for members of health plans or employer groups. Provide support and appropriate referrals as needed.
Qualifications
And Experience Graduate of an accredited school of nursing with a minimum Associate of Science degree; Bachelor of Science preferred. Current Nursing License, and advanced practice license if applicable. Must be licensed to practice as a Registered Nurse in the state of residence. Minimum of five years of experience in a s ubspecialty including general infertility, IVF or infertility care management, women’s health, mother/baby, and/or NICU. Bilingual proficiency in Spanish or another language in addition to English is desirable. Why You’ll Love Working at WIN Make a meaningful impact. Help improve the lives of individuals and families at every stage of life. Shape what's next. Join a growing company where your ideas can influence products, experiences, and the future of family well-being. Collaborate with purpose. Work alongside passionate teammates who care deeply about our mission and each other. Grow your career. Take on meaningful challenges, build new skills, and make a lasting impact in a fast-moving environment. Equal Opportunity Employer WIN is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other status protected by applicable federal, state, or local law.