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Clinical Quality RN II jobs in United States
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Transcarent · 1 day ago

Clinical Quality RN II

Transcarent is a healthcare company focused on improving member experiences through innovative solutions. The Clinical Quality RN II is responsible for overseeing member-reported outcomes and leading process improvement initiatives to enhance service delivery across various care programs.
HealthcareWellnessSoftwareHealth CarePersonal Health

Responsibilities

Drive process improvement projects to standardize workflows across care products, ensuring efficient and effective responses to member feedback
Develop, implement, and maintain policies and procedures related to member experience and service recovery
Accurately capture, document, and track all member feedback, ensuring timely outreach and resolution of grievances in accordance with company policies and procedures
Partner with Analytics to design and maintain dashboards and scorecards that track, trend, and analyze member feedback and experience outcomes
Present member feedback trends, insights, and recommendations for improvement to committees and key stakeholders
Collaborate with clinical teams, program managers, and clinical leaders to ensure member concerns are addressed in a coordinated and supportive manner
Demonstrate empathy, active listening, and effective problem-solving to consistently deliver a positive, high-quality member experience

Qualification

Clinical Quality ExperienceRegistered Nurse LicenseHealthcare Industry KnowledgeMicrosoft Office ProficiencyProcess Improvement SkillsCommunicationCritical ThinkingTeam PlayerAttention to Detail

Required

Minimum of 5 years as an active Registered Nurse
3+ experience working in clinical quality, audit, or excellence
Strong and broad knowledge of the healthcare industry
Demonstrated broad understanding of current healthcare delivery systems
Demonstrated ability to navigate/understand and explain Health Plan SPDs
Commitment to quality and continuous improvement
Demonstrated ability to use Microsoft Office (Word, Sharepoint, Powerpoint)
Strong self-management
Excellent written and verbal communication skills with proven ability to communicate with individuals at various levels within the organization
Ability to perform well under pressure, adapt to change, and meet deadlines in a fast-paced, dynamic, evolving environment
Proven critical thinking / problem solving
Demonstrated attention to detail with a complement of strategic thinking
Change champion and adapt to change quickly
Data-driven and fact-based: focused on getting to best answer for clients
Detail-oriented, inquisitive, problem-solving in nature
A team player capable of working effectively with individuals throughout the organization

Benefits

Competitive medical, dental, and vision coverage
Competitive 401(k) Plan with a generous company match
Flexible Time Off/Paid Time Off, 13 paid holidays
Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance
Mental Health and Wellness benefits

Company

Transcarent

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Transcarent is a provider of a healthcare platform that facilitates improved outcomes and cost-effective decisions.

Funding

Current Stage
Late Stage
Total Funding
$905M
Key Investors
62 Ventures,General Catalyst7wire Ventures,General CatalystHuman Capital,Kinnevik
2025-04-08Series D· $481M
2024-05-02Series D· $126M
2022-01-11Series C· $200M

Leadership Team

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Glen Tullman
Chief Executive Officer
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Praful Kaul
Chief Technology Officer
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Company data provided by crunchbase