Nurse Advisor - Member Engagement

About Private Health Management 

Private Health Management (PHM) supports people with serious and complex medical conditions, helping them obtain the best possible medical care. We guide individuals and families to top specialists, advanced diagnostics, and personalized care. Trusted by healthcare providers and businesses, PHM offers independent, science-backed insights to help clients make informed decisions and access the best care. 

 

About the Role 

As a Nurse Advisor, Member Engagement, you’ll engage in a newly created role designed to bring clinical credibility and empathy into the earliest moments of a member’s journey to the best of what’s possible in medicine with PHM. This role serves as the first clinical touchpoint for members, helping them understand PHM’s value and guiding them toward the best steps in their care journey. 

In the role you’ll focus on outbound engagement, including proactive outreach, trust-building, and guiding members towards engaging with PHM’s service. Additionally, this role will offer support for inbound triage and member needs, helping ensure members receive timely guidance and are directed appropriately in coordination with the broader team. 

You’ll remove friction from the current process and create a seamless transition into PHM services for members facing cancer and other serious and complex illnesses, helping them get the absolute best of what medicine has to offer. 

 

What You’ll Accomplish 

• Increase conversion from outreach to case opening through trust-based, clinically grounded conversations through direct outreach to eligible members 

• Improve member responsiveness, including higher answer rates and sustained engagement  

• Strengthen progression from initial contact to active case participation  

• Build trust and credibility with employer partners through a high-quality engagement experience  

 

How You’ll Spend Your Days 

Outbound Member Engagement  

• Conduct outbound calls to eligible members, introducing PHM as a free and confidential benefit  

• Establish trust quickly by clearly explaining privacy protections, independence, and value  

• Navigate skepticism and emotional resistance with empathy and confidence  

• Guide members toward a clear next step, including case initiation  

• Maintain consistent outreach and thoughtful follow-up to drive engagement  

• Support Triage RNs with by responding to inbound inquiries as needed 

 

Clinical Judgment & Member Navigation 

• Apply clinical credibility to strengthen engagement conversations  

• Recognize when situations require escalation versus continued engagement  

• Support smooth transitions into care teams  

 

Cross-Functional Collaboration 

• Partner with engagement, triage, and clinical teams to refine workflows and handoffs  

• Contribute to the evolution of this role in a fast-changing environment  

 

What You Bring to the Table&a