Full Time Registered Nurse Case Manager - Medical/Surgical/Musculoskeletal (MSK) - Remote

Accolade, Inc.; Houston (TX); Remote; USD 75,000 - 95,000; Full time

Job summary

A healthcare services company is seeking a Remote Medical/Surgical/Musculoskeletal Nurse Case Manager. This role involves providing support for members with chronic conditions, conducting clinical assessments, and educating members on health services. The ideal candidate will have a BSN or ADN with significant nursing experience and adaptability in a dynamic healthcare environment. Competitive position with flexible hours.

Qualifications

• Minimum of 3-5 years of clinical experience or 5-6 years with ADN.
• 1 year of telephonic nursing experience required.
• Current/valid Registered Nurse Compact License.

Responsibilities

• Provide ongoing support for members with complex health conditions.
• Conduct clinical assessments to understand members' needs.
• Coordinate and schedule consultations for members.
• Engage members through calls and educate them on health services.

Skills

Clinical experience

Telephonic nursing

Empathetic listening

Proficiency in EMR

Teamwork

Adaptability in healthcare

Education

Bachelors Science of Nursing (BSN)

Associates Degree of Nursing (ADN)

Job description

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.

Accolade's Expert Medical Opinion is Recruiting for a Full Time Medical/Surgical/Musculoskeletal (MSK) Nurse Case Manager. This position is Remote and has a start date for September 8th.

Applicants will be required to work 9am to 6pm CST. Applicants with Medical/Surgical experience and/or Post Anesthesia Care Unit (PACU) experience are encouraged to apply.

Role overview:

As an Medical/Surgical/Musculoskeletal (MSK) Nurse Case Manager, you will play a crucial role as a reliable resource for our members requiring ongoing support of complex or chronic health conditions.

A day in the life…

Accolade Nurse Case Managers are entrusted with providing information to our diverse population of members that empowers them in making informed health decisions.

• Meet queue expectations by managing and adhering to scheduled nurse intake appointments.
• Conduct clinical and behavioral assessments to understand members’ holistic needs and advocate for appropriate care.
• Draft medical histories and identify consultation goals.
• Identify necessary medical records for collection and collaborate with Health Information Technicians.
• Coordinate and schedule video or phone consultations.
• Review and share specialist notes with members and facilitate local provider recommendations as needed.
• Conduct follow-up calls to ensure members reach their health goals.
• Facilitate local referrals to providers, agencies, or facilities.
• Identify and document cases with successful outcomes for potential testimonials.
• Engage members through inbound and outbound calls, educating them on Accolade services.
• Provide specialty care navigation to members, guiding them through the complexities of managing their health.
• Provide education, high-touch coaching, referrals, and network steerage tailored to meet the unique needs of each member.
• Assist members with all specialty conditions.
• Coach members on the next steps in their diagnosis and treatment plans.
• Participate in monthly Care Team meetings, contributing insights and promoting a collaborative care environment.

Requirements:

• Bachelors Science of Nursing (BSN) with Minimum of 3-5 years of Clinical Experience; or Associates Degree of Nursing (ADN) with Minimum of 5-6 years of Clinical Experience
• 1 Year of telephonic nursing
• Current/valid Registered Nurse Compact License
• Proficiency in navigating technologies including: EMR, professional technology platforms while multitasking effectively.
• Flexibility and adaptability in a dynamic healthcare environment, with strong teamwork
• Empathetic listener and communicator
• Commitment to continuing education.

Preferred Qualifications:

• Minimum of 2-3 years of direct patient care or case management
• Experience in one or more of the following: specialty clinic/office setting, utilization management, triage, managed care, and discharge planning.
• Familiarity with health plans, population health, and value-based healthcare programs.
• (RN) license with compact licensure

Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.