Full Time Registered Nurse, Adult Complex Case Manager (Very High Risk/Transition of Care) - Remote

About Transcarent

Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Transcarent’s AI-powered WayFinding, comprehensive Care Experiences – Cancer Care, Surgery Care, Weight – and Pharmacy Benefits offerings combined with Accolade’s health advocacy, expert medical opinion, and primary care, allows us to meet people wherever they are on their health and care journey. Together, more than 20 million people have access to the combined company’s offerings. Employers, health plans, and leading point solutions rely on us to provide trusted information, increase access, and deliver care

Accolade is currently Recruiting for a Full Time Registered Nurse Adult Complex Case Manager.

We're hiring for a start date of October 13th.

This position is Remote and the scheduled hours are 8:00am to 4:30pm your local time.

Role overview   

As an Accolade RN Complex Case Manager, you will play a crucial role as a trusted and reliable resource for our members requiring ongoing management of complex or chronic health conditions.  Leveraging your clinical case management expertise and applying Accolade’s core value of genuine care for members, telephonically you will conduct thorough assessments of members’ health concerns, prioritize medical needs, build comprehensive care plans, and provide follow up guidance.    

A day in the life…  

Accolade RN Complex Case Managers are entrusted with providing information to our diverse population of members that empowers them in making informed health decisions.  We partner with our members in various ways (via telephone and digital), and apply critical thinking measures to achieve the following:  

• Collaborate with members and their interdisciplinary care teams to develop comprehensive and effective personalized plans for care to support the members' healthcare journey. 
• Engage with members via inbound and outbound telephonic communication, providing education on Accolade’s services and appropriate clinical program enrollment. 
• Conduct member behavioral and clinical assessments to identify an individual’s holistic needs, understanding what’s important to them and advocating for members to receive the right care at the right time 
• Effectively and confidently communicate comprehensive personalized care plan information, including but not limited to medical tests, procedures, costs, risks, treatment options, and care journey specifics, including preparation for hospital admission, inpatient stay and discharge 
• Professionally navigate members’ health plans to facilitate coverage and care decisions by demonstrating an understanding of our members’ employer-sponsored benefits 
• Guide members and member-appointed delegates to appropriate facilities, agencies, providers, and specialists for medical needs 

What we are looking for…   

Required: 

• Bachelor's degree in nursing (BSN) or equivalent   
• Compact licensure 
• Possess current/active Certified Case Manager License (CCM) or commitment to obtain certification within one year of hire 
• 5 years minimum as an active Registered Nurse with a current unrestricted license 
• Additional 2 years minimum of direct care or case management experience in one of the following specialty fields (adult med-surg, oncology, pediatrics, behavioral health, NICU, maternity, or cardiology) 
• 1 year minimum telephonic case management experience 
• Ability to navigate and work with various EMR technologies  
• Multitasking abilities to include active listening, typing, and member interaction 
• Ability to demonstrate flexibility and adaptability in a dynamic healthcare environment. 
• Ability to work cross functionally in a team-oriented environment. 
• Excellent communication skills, organization skills 

Preferred: 

• Utilization management, managed care, and discharge planning experience 
• Experience with health plans, population health, and value-based types of companies/programs 
• Customer service or outbound engagement experience  
• *This job description is intended to convey information essential to understanding the scope of the Nurse Case Manager position. It is not an exhaustive list of responsibilities, requirements, and preferred skills.

​The pay range for this position is $69,400.00 to $104,100. This range is annualized, assuming normal full-time employment.

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