Registered Nurse

Transcarent is the One Place for health and care. We cut through the complexity, making it easy for people to access high-quality, affordable care. With a personalized app tailored for each Member, an on-demand care team, and a connected ecosystem of high-quality, in-person care and virtual point solutions, Transcarent eliminates the guesswork to confidently guide Members to the right level of care. We take accountability for results – offering at-risk pricing models and transparent impact reporting to align incentives towards 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. 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 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.