Transcarent · 2 weeks ago
Registered Nurse I - Surgery Care
United States
Full-time
Remote
Mid, Senior Level
$90K/yr - $90K/yr
3+ years expTranscarent is a company focused on delivering personalized health and care experiences. They are seeking a Registered Nurse I to support members through their Surgery Care journey by executing established workflows and ensuring high-quality support and documentation.
Health CarePersonal HealthSoftware
Responsibilities
Conduct clinical intake, ensuring accurate understanding of symptoms, history, risk factors, and surgery readiness
Assess member appropriateness for the Surgery Care program and identify appropriate COE placement in accordance with established criteria
Provide clear education to members regarding program requirements, next steps, timelines, and expectations
Coordinate the full case pathway with support from internal partners, including scheduling, benefits, pre-authorization needs, and facility coordination
Obtain, review, and validate required clinical documentation, forms, clearances, tests, consult notes, imaging, and consents
Track case status and advance members through established workflows
Maintain accurate and timely documentation of all interactions and decisions within internal systems
Identify and escalate clinical risks, barriers, or workflow issues as appropriate
Serve as a clinical point of contact for assigned COEs, ensuring efficient communication from referral through post-op follow-up
Prepare and submit complete referral packets for COE review, confirming case receipt and monitoring review status
Obtain key updates including acceptance/denial decisions, consult dates, required next steps, and surgical approval items
Review and validate Case Approval Forms (CAF), following up on missing elements such as codes, TRDs, or facility information
Gather post-consult recommendations, clarify next steps, and ensure all requirements for surgical approval are met
Maintain accurate COE account records, contacts, and referral data within Salesforce
Partner with Clinical, PRE, AE, Medical Records, Scheduling, Benefits, Travel, Provider Relations, and Operations teams to resolve barriers and expedite care
Collaborate with internal clinical programs to ensure alignment and continuity of care
Participate in weekly operations meetings with COEs to support case progression and gain familiarity with provider workflows
Serve as a resource to colleagues for routine case questions within assigned functional area
Identify and escalate workflow gaps and proactively partner with leadership and peers to implement improvements
Contribute to quality assurance efforts by evaluating clinical documentation, identifying issues, and escalating as appropriate
Uphold HIPAA, professional standards, and organizational policies while delivering clinically appropriate guidance
Qualification
Required
BSN or RN with bachelor's degree
Minimum of 3-5 years of Clinical Acute Care Experience; OR
AAS or ADN degree
Minimum of 5-6 years of Clinical Acute Care Experience
Registered Nurse with active multi-state licensure
Strong written, verbal, and interpersonal communication skills with a service-oriented, member-first mindset
Proficiency in navigating multiple systems (Microsoft Office, EMRs, contact center platforms, Salesforce)
Excellent organization, critical thinking, and problem-solving skills
High attention to detail and reliable follow-through across a high-volume caseload
Ability to remain focused, flexible, and effective in a fast-paced, evolving environment
Demonstrated adaptability to new workflows, tools, and technologies
Preferred
Clinical experience in surgery or a related specialty preferred
Experience in multidisciplinary teams (care coordination, UM/CM, navigation, COE programs)
Experience supporting members through high-stakes or emotionally complex clinical decisions
Skill in member-focused communication, motivation, and de-escalation
Familiarity with clinical documentation standards and ability to write clear, concise case notes
Experience collaborating across clinical, operational, and provider-facing teams
Comfort working in rapidly scaling or changing healthcare environments
Experience presenting clinical summaries or discussing clinical pathways in team settings
Benefits
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
Company
Transcarent
Transcarent is a provider of a healthcare platform that facilitates improved outcomes and cost-effective decisions.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$905M2025-04-08Series D· $481M
2024-05-02Series D· $126M
2022-01-11Series C· $200M
Leadership Team
Glen Tullman
Chief Executive Officer
Praful Kaul
Chief Technology Officer
Recent News
2025-12-31
2025-11-20
Company data provided by crunchbase