Nurse Case Manager

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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 .
Role o verview
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 individual's needs in a holistic manner
  • Becoming knowledgeable about 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 individuals about their condition, medication, and care journey including receiving care in the most appropriate setting to meet their needs. Assisting individuals to understand diagnostic tests, test alternatives, costs, risks, and treatment options, and preparing for hospital admissions, inpatient stays, and returning home
  • Interfacing with clients' health plans to facilitate coverage and care decisions; directing individuals 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


What we are looking for ...
Required

  • Bachelor's Degree in Nursing (BSN) or equivalent
  • Minimum of 5 years as a Registered Nurse, with a current unrestricted license. Compact (NLC) license preferred
  • Minimum of 3 years as a Registered Nurse with direct Case Management, Utilization Management and/or Managed Care experience
  • Ability to become licensed in additional states as required
  • Previous Tele-Health or Telephonic Nursing experience
  • Certification by the Commission for Care Manager Certification (CCMC), specialty certification or commitment to obtain within 1 year of hire.
  • For specialty case management roles: case management experience must be in that field
  • For nursing triage roles: triage, ED, urgent care experience must be in that field


Preferred

  • 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


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 individually 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.
To review our policy around data use, visit our Accolade Privacy Policy Page . All your information will be kept confidential according to EEO guidelines.
Accolade

More Information on Accolade
Accolade operates in the Healthtech industry. The company is located in Seattle, WA. Accolade was founded in 2007. It has 1200 total employees. It offers perks and benefits such as Volunteer in local community, Partners with nonprofits, Eat lunch together, Intracompany committees, Daily sync and Open door policy. To see all jobs at Accolade, click here.
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