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Registered Nurse Clinical Specialist - US - Remote

Who we are  

Transcarent is the One Place for Health and Care. We cut through complexity, making it easy for people to access high-quality, affordable health and care. We create a personalized experience tailored for each Member, including an on-demand care team, and a connected ecosystem of high-quality, in-person care and virtual point solutions. Transcarent eliminates the guesswork and empowers Members to make better decisions about their health and care.

Transcarent is aligned with those who pay for healthcare and takes accountability for results – offering at-risk pricing models and transparent impact reporting to ensure incentives support a measurably better experience, better health, and lower costs. 

At Transcarent, 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. In May 2024, we closed our Series D with $126 million, propelling our total funding to $450 million and fueling accelerated AI capabilities and strategic growth opportunities. 

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 

About this role 

The Registered Nurse Clinical Specialist reports to the Director, Clinical Operations of Care Support Services and is responsible for guiding members through their Transcarent experience in partnership with Transcarent’s Care Coordinators. 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’ll do

Support the Care Support Services team 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 Team to manage a caseload efficiently and effectively across a variety of clients and all 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 Member barriers to utilizing the benefit including addressing program questions and 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. 
  • Lead a cohort of Care Coordinators to ensure cases are effectively progressing through to completion accurately. 
  • Other duties as assigned. 

What we’re looking for 

  • Located in or near Chicago, IL, and available to work in the office Monday - Friday. 
  • Registered Nurse with active, multistate licensure required. 
  • Bachelor of Science in Nursing (BSN) required. 
  • A minimum of 5 years clinical acute care experience as a practicing RN preferred. 
  • Experience in surgery preferred. 

Nice to have 

  • 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. 
  • Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. 
  • Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. 
  • Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. 

As an onsite position, the salary range for this role is: $80,000—$93,000 USD

Total Rewards 

Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate’s skills, experience, market demands, and internal equity.  

Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options.  

Our benefits and perks programs include, but are not limited to:  

  • Competitive medical, dental, and vision coverage  
  • Competitive 401(k) Plan with a generous company match  
  • Flexible Time Off/Paid Time Off, 12 paid holidays  
  • Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance 
  • Mental Health and Wellness benefits  

Location  

You must be authorized to work in the United States. Depending on the position we may have a preference to a specific location, but are generally open to remote work anywhere in the US.  

Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out!  

Research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current health and care with their unique experiences. 

 

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Job Profile

Regions

North America

Countries

United States

Benefits/Perks

Competitive medical, dental, and vision coverage Corporate bonus program Flexible time off Individual compensation packages Paid Time Off Protection Plans Sales incentive Stock options

Skills

Clinical Care Clinical operations Communication Healthcare Healthcare operations Presentation Quality Assurance Sales

Tasks
  • Address Member barriers
  • Collaborate with COE partners
  • Communication
  • Develop quality measures and protocols
  • Guide members through Transcarent experience
  • Lead Care Coordinators
  • Manage caseload efficiently
  • Provide clinical subject matter expertise
  • Support
Education

Health

Certifications

Registered Nurse

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9