Full Time Registered Nurse - Behavioral Health Complex Case Manager (CCM) - Remote
Accolade's Complex Case Management is currently recruiting for a Full Time Behavioral Health Registered Nurse - Complex Case Manager. We’re hiring for a start date of November 3rd. This position is remote and applicants will be required to work 8:00am to 4:30pm their local time. Applicants with licensure in California, Michigan, and Illinois with a Compact licensure are strongly preferred.
Role Overview
As Behavioral Health Registered Nurse Complex Case Manager, you will be reporting to Clinical Manager for The Complex Case Management. As an RN Complex Case Manager – Behavioral Health, you will serve as a trusted resource for our adult and pediatric members, managing both behavioral health concerns and complex chronic conditions. You will conduct thorough assessments, prioritize medical needs, develop personalized care plans, and guide members through their healthcare journey.
A day in the life…
• Engage with members via telephonic and digital communication to provide education on Accolade's services, clinical programs, and appropriate program enrollment.
• Conduct comprehensive assessments of members' health concerns, including behavioral and clinical assessments to identify holistic needs.
• Proactively engage with member’s providers, as appropriate, to coordinate care, facilitate treatment plan adherence, overcome barriers, and optimize utilization of available resources.
• Develop personalized plans of care in collaboration with interdisciplinary care teams and members to support their healthcare journey.
• Advocate for members to receive timely and appropriate care, navigating health plans and facilitating coverage decisions.
• Communicate complex medical information clearly and effectively, including tests, procedures, costs, risks, and treatment options.
• Guide members and their delegates to appropriate employer & health plan provided point solutions, facilities, agencies, providers, and specialists for their medical needs.
What We Are Looking For…
• Minimum of 5-7 years of Clinical Experience as an active Registered Nurse with an unrestricted license.
• BSN or RN with bachelor's degree and/or AAS or ADN degree with 7-8 years of experience
• Current/valid Registered Nurse (RN) license with compact unrestricted licensure. Additional licensure in CA, MI, and IL preferred.
• Minimum 2 additional years of direct care or case management experience in behavioral health
• 1 Year of telephonic case management experience.
• Certified Case Manager (CCM) certification or commitment to obtain within one year of hire.
• Ability to navigate EMR technologies and multitask effectively (listening, typing, member interaction).
• Flexibility and adaptability in a dynamic healthcare environment, with strong teamwork and communication skills.
• Commitment to continuing education.
Preferred Skills:
• Experience in utilization management, managed care, and discharge planning.
• Familiarity with health plans, population health, and value-based healthcare programs.
Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
The salary range for this role is: $69,400 - $104,100 Annual
Total Rewards
• 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
• Accrued Sick & Safe Time Off
• Generous Holiday Schedule + 5 floating holidays
• Paid parental leave
• Subsidized commuter benefits programs
• Virtual access to coaching, self-care activities, and video-based therapy and psychiatry through Headspace
• 1 Volunteer day per year
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Salary: USD 69400 - 104100 per year
Experience: 5 years required
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