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Registered Nurse, Complex Case Manager – Remote

Remote

Full time

REQ202311-047

About Accolade

Accolade (Nasdaq: ACCD) provides millions of people and their families with an exceptional healthcare experience that is personal, data driven and value based to help every person live their healthiest life. Accolade solutions combine virtual primary care, mental health support and expert medical opinion services with intelligent technology and best-in-class care navigation. Accolade’s Personalized Healthcare approach puts humanity back in healthcare by building relationships that connect people and their families to the right care at the right time to improve outcomes, lower costs and deliver consumer satisfaction. Accolade consistently receives consumer satisfaction ratings over 90%. For more information, visit accolade.com.

Accolade’s Complex Case Management team is currently recruiting for a Full Time Registered Nurse (Complex Case Manager).

This position is remote. Applicants will be required to work 8:00am to 4:30pm your local time.

Role Overview

As an Accolade Case Manager, you will be a trusted resource who assists our clients with any concerns or issues related to their health or health benefits. Through a combination of clinical acumen and expertise in advocacy and navigation, you will have the opportunity to help members get the right care at the right time.

A day in the life

• Consult with clients identified by Accolade as needing case management services.
• Applying critical thinking and clinical skills to maximize clinical outcomes while interacting with members in a fast-paced environment
• Building trusting relationships by asking deep rooted questions in order to influence care decisions
• Conducting behavioral and medical assessments to identify an inidual’s needs in a holistic manner
• Becoming knowledgeable on our clients’ employer-sponsored benefits in order to answer questions around medical benefits, claims, care coordination and other complexities of the healthcare system by explaining complicated medical and benefits terms in plain language
• Educating iniduals about their condition, medication, and care journey including receiving care in the most appropriate setting to meet their needs. Assisting iniduals to understand diagnostic tests, test alternatives, costs, risks, treatment options, and preparing for hospital admissions, inpatient stays and returning home
• Interfacing with clients’ health plans to facilitate coverage and care decisions; directing iniduals to facilities, agencies and specialists for care, including working with client-appointed delegates and interfacing with providers to coordinate care
• Getting a holistic view of who our members are, understanding what is important to them and providing options so they can make an informed decision about their true care needs
• Educating and empowering our members so they are able to confidently navigate the healthcare system getting the right care at the right time is important
• Advocating for our members consistently and continuously throughout their healthcare journeys
• Maintaining quality metrics
• Participating in Interdisciplinary Rounds

What we are looking for

Required:

• Hold a current/active Certified Case Manager License (CCM)- If not certified, must obtain 1 yr of hire

• Completed Bachelor’s Degree in Nursing (BSN) or equivalent
• Minimum of 5 years as an active Registered Nurse with a current Compact unrestricted license
• Minimum of 3 years of experience as a Nurse Case Manager.
• Telephonic Case management and Discharge Planning experience a must
• Computer strength is a MUST you’ll be listening, talking, typing all at one time
• Be an empathetic critical thinker there are no scripts here speak with your mind and heart, be able to think outside of the box on a large variety of topics from claims to colonoscopies!
• Possess excellent communication skills, organization skills and have a high tolerance for ambiguity change is how we grow!

Preferred

• Utilization Management & Managed Care experience
• Ability to understand and communicate client’s medical benefits, claims and care coordination with a focus on advocacy and effective utilization
• Experience with motivational interviewing and developing client-focused holistic care plans
• Demonstrated ability to educate and provide self-management support
• Strong communication skills, including the ability to actively listen and engage with clients telephonically
• Experience with real-time electronic health record documentation
• Self-discipline and ability to prioritize professional responsibilities
• Commitment to continue clinical education to ensure practice is at top of licensure.

Salary – $43.00/hr

Benefits

• Comprehensive medical, dental, vision, life, and disability benefits, including access to Accolade Advocacy, Accolade Care, and Accolade EMO.
• HDHP medical plan with generous employer contributions towards an HSA
• 401(k) Retirement Plan with matching employer contributions
• Open Time Off
• Generous Holiday Schedule + 5 floating holidays
• 18 weeks of paid parental leave
• Subsidized commuter benefits programs
• Virtual access to coaching, self-care activities, and video-based therapy and psychiatry through Ginger
• 1 Volunteer days per year
• Employee Stock Purchase Plan (ESPP) w/ employee discount

We strongly encourage you to be vaccinated against COVID-19.

What is important to us…

Creating an enduring company that is hyper-focused on our culture and making a meaningful impact in the lives of our employees, members and customers. The secret to our success is:

We find joy and purpose in serving others

Making a difference in our members’ and customers’ lives is what we do. Even when it’s hard, we do the right thing for the right reasons.

We are strong inidually and together, we’re powerful

Trusting in our colleagues and embracing their different backgrounds and experiences enable us to solve tough problems in creative ways, having fun along the way.

We roll up our sleeves and get stuff done

Results motivate us. And we aren’t afraid of the hard work or tough decisions needed to get us there.

We’re boldly and relentlessly reinventing healthcare

We’re curious and act big — not afraid to knock down barriers or take calculated risks to change the world, one person at a time.

Accolade is an Equal Opportunity and Affirmative Action Employer committed to advancing an inclusive environment for all qualified applicants and employees. We provide employment opportunities, without regard, to any legally protected status in accordance with applicable laws in the US. We are committed to help ensure you have a comfortable and positive interview experience.

Accolade, Inc., PlushCare, Inc., and Accolade 2ndMD LLC will never ask you to pay to get a job. Anyone who does this is a scammer. Further, we will never send you a check and ask you to send on part of the money or buy gift cards with it. These are also scams. If you see or lose money to a job scam, report it to the Federal Trade Commission at ReportFraud.ftc.gov. You can also report it to your state attorney general.

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