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. Transcarenteliminates 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 role of the RN Care Coordinator (Contractor) is to work with members to introduce, coordinate, and guide members through their Transcarent experience . In this caseload carrying role, you will have an opportunity to improve members’ lives.
Responsibilities include answering the phone, educating members on their benefits; uploading documents into the computer system; coordinating members surgical care with providers, obtaining precertification authorizations, requesting and reviewing medical records, working in collaboration with internal and external customers to ensure a flawless experience for our members. The RN Care Coordinator may interface with travel coordinators and clinical contacts provider locations.
What you’ll do
- Provide clinical subject matter expertise and guidance relating to individual cases and in broader strategy and processes
Communicate and follow-up with plan members to ensure understanding of programs while delivering high-quality customer service - Answer the phones and responds to incoming inquiries while utilizing care center training tools
- Facilitate patients successfully through the surgery review process, exceeding expectations while meeting the program metrics
- Efficiently and effectively manages a case load across a variety of clients and surgical categories
- Coordinate the scheduling and approval process from the initial request for surgery to patient placement
- 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
- Obtain the necessary information – demographic, financial, clinical and other pertinent data to complete referral process
- Maintain and update application with current data, pertinent information, and status of cases
- Collaborate with providers, clinics and facilities, and various levels of management to effectively resolve issues. Obtain pre-authorizations
- Effectively address and resolve patient barriers to utilize the benefit including working with members to address program questions
- Develop new or update existing quality measures, protocols, processes, and policies to minimize risk and ensure compliance
- Provide information to COE facility and provider partners in support of achieving the highest quality experience for our Members
- Provide guidance relating to COE facilities and providers for targeting and participation
- Maintain confidentiality and knowledge of HIPAA regulations
What we’re looking for
- 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.
- Proficient in data entry, Microsoft Office, and contact center-style phone systems
- Excellent customer service, written and verbal communication and interpersonal skills
- A “delight the customer” attitude
- Strong organizational, critical thinking and problem-solving skills
- Strong attention to detail and follow-through
- Project management-type skills; prior experience managing a high-volume caseload
- An ability to focus in a high energy atmosphere
- Openness and understanding that dynamic environments include change, and welcoming that change with a positive attitude
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.
As a remote, contract position, the hourly range for this role is:
$37.00 - $43.00/hr
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.
United States
