Registered Nurse

Who we are 

Healthcare is more confusing, more costly, and more complex than ever. Transcarent is a health and care experience company on a mission to empower Members to stay healthy by providing them with unbiased information, trusted guidance, and easy access to high value care where and when they need it.  You will be part of a world-class team, supported by top tier investors like 7wireVentures and General Catalyst, and founded by a mission-driven team committed to transforming the health and care experience for all. We closed on our Series C funding in January 2022, raising our total funding to $298 million and enabling us to respond to the demand for rapid expansion of our offering. 

Transcarent is committed to growing and empowering a diverse and inclusive community within our company. We believe that a team with diverse lived experiences, working together will strengthen our organization, and our ability to deliver "not just better but different" experiences for our members. 

We are looking for teammates to join us in building our company, culture, and Member experience who: 

• Put people first, and make decisions with the Member’s best interests in mind
• Are active learners, constantly looking to improve and grow
• Are driven by our mission to measurably improve health and care each day
• Bring the energy needed to transform health and care, and move and adapt rapidly
• Are laser focused on delivering results for Members, and proactively problem solving to get there 

What we look for in this role  

The Registered Nurse reports to the Director, Clinical Operations and is responsible for guiding members through their Transcarent experience in partnership with Transcarent’s Care Support Services Department. This role also supports quality assurance and improvement efforts and operations related to our Centers of Excellence (COE) program in accordance with the Transcarent Quality Tenets. The Registered Nurse will reflect the mission, vision, and value statements of Transcarent to internal departments and external plan sponsors, providers, and partners.

What you will do

• Support the Care Support Services Department with clinical subject matter expertise and guidance relating to individual cases and in broader strategy and processes. This includes direct support to Plan Members.
• Partner with the Care Support Services Department to manage a case load efficiently and effectively across a variety of clients and clinical categories.
• Supports members to introduce, coordinate, and guide members through their Transcarent experience.
• Work effectively with other supporting operational roles and internal departments, to coordinate the member's case.
• Effectively address and resolve patient barriers to utilize the benefit including working with members to address program questions, including collecting medical records in a timely and accurate manner to ensure an expedited process.
• Work with cross functional teams to develop new or update existing quality measures, protocols, processes and policies to minimize risk and ensure compliance.
• Work collaboratively with our COE facility and provider partners in support of achieving the highest quality experience for our Members.
• Support the Provider Relations team with guidance relating to COE facilities and providers for targeting and participation.
• Support the operational needs of the COE program from a clinical perspective including monitoring and support for member complications. 

What we're looking for

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Registered Nurse and current licensure, BSN required.
• A minimum of 5 years clinical acute care experience as a practicing RN preferred

Competencies

• Flexibility - Openness and understanding that dynamic environments include change, and welcoming that change with a positive attitude
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.