Full Time Medical/Surgical/Musculoskeletal Nurse Case Manager
Accolade

Job Info

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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.

Accolade's Expert Medical Opinion is Recruiting for a Full Time Medical/Surgical/Musculoskeletal (MSK) Nurse Case Manager.

Applicants will be required to work 9am to 6pm CST.

Applicants with Medical/Surgical experience and/or Post Anesthesia Care Unit (PACU) experience with are encouraged to apply. The Hiring Manager is will to train applicants who may not have Musculoskeletal experience.

Role overview:

As an Medical/Surgical/Musculoskeletal (MSK) Nurse Case Manager: you will be reporting to a Nursing Manager, you will play a crucial role as a reliable resource for our members requiring ongoing support of complex or chronic health conditions. Leveraging your clinical expertise and applying Accolade's core value of genuine care for members, telephonically you will conduct thorough assessments of members' health concerns, prioritize medical needs, facilitate and manage expert medical opinions, provide specialty care navigation and follow up guidance.

A day in the life...

Accolade Nurse Case Managers are entrusted with providing information to our diverse population of members that empowers them in making informed health decisions. We partner with our members in various ways (via telephone and digital), and apply critical thinking measures to achieve the following:

• Meet queue expectations by managing and adhering to scheduled nurse intake appointments, ensuring timely and efficient service for all members.
  
• Conduct clinical and behavioral assessments to understand members' holistic needs and advocate for appropriate care.
  
• Draft medical histories and identify consultation goals. Accurately enter all case details into Case Management Software, ensuring real-time, HIPAA-compliant data integrity.
  
• Identify necessary medical records for collection, collaborate with Health Information Technicians to organize them, and determine the most suitable panel specialist for each case.
  
• Coordinate and schedule video or phone consultations, arrange support personnel, and troubleshoot potential issues beforehand.
  
• Review and share specialist notes with members and facilitate local provider recommendations as needed.
  
• Conduct follow-up calls to ensure members reach their health goals and provide additional support as needed.
  
• Facilitate local referrals to providers, agencies, or facilities, and collaborate with interdisciplinary care teams to maintain continuity of care.
  
• Identify and document cases with successful outcomes for potential testimonials to highlight the impact of the Expert Medical Opinion service.
  
• Engage members through inbound and outbound calls, educating them on Accolade services and directing them to relevant internal programs or employer-sponsored benefits, like virtual primary care and complex case management.
  
• Provide specialty care navigation to members, guiding them through the complexities of managing their health for improved health outcomes.
  
• Provide education, high-touch coaching, referrals, and network steerage tailored to meet the unique needs of each member.
  
• Assist members with all specialty conditions, including those who are symptomatic or unsure of where to start their diagnostic work-up and treatment.
  
• Coach members on the next steps in their diagnosis and treatment plans, including formulating questions for local providers.
  
• Participate in monthly Care Team meetings, contributing insights and promoting a collaborative care environment.
  

What we are looking for...

Requirements:

• Bachelors Science of Nursing (BSN) with Minimum of 3-5 years of Clinical Experience; or Associates Degree of Nursing (ADN) with Minimum of 5-6 years of Clinical Experience
  
• 1 Year of telephonic nursing
  

• Current/valid Registered Nurse Compact License
  
• Proficiency in navigating technologies including: EMR, professional technology platforms while multitasking effectively (listening, typing, member interaction).
  
• Flexibility and adaptability in a dynamic healthcare environment, with strong teamwork
  
• Empathetic listener and communicator
  
• Commitment to continuing education.
  

Preferred Qualifications:

• Minimum of 2-3 years of direct patient care or case management
  
• Experience in one or more of the following: specialty clinic/office setting, utilization management, triage, managed care, and discharge planning.
  
• Familiarity with health plans, population health, and value-based healthcare programs.
  
• (RN) license with compact licensure
  

Additional Information:

• This role involves telephonic and digital interactions with members, requiring strong communication skills, organization, and the ability to work collaboratively in a team-oriented environment.
  
• You will be integral in advocating for members' healthcare needs and ensuring they receive personalized care and support throughout their healthcare journey.
  
• Flexibility to work various shifts, including nights, weekends, and holidays as needed.
  

*This job description is intended to convey information essential to understanding the scope of the Nurse Case Manager position. It is not an exhaustive list of responsibilities, requirements, and preferred skills.

Benefits

• 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
  
• Paid Time Off
  
• Generous Holiday Schedule + 5 floating holidays
  
• 18 weeks of paid parental leave
  
• Subsidized commuter benefits programs
  
• Virtual access to coaching, self-care activities, and video-based therapy and psychiatry through Ginger
  
• 1 Volunteer days per year
  
• Employee Stock Purchase Plan (ESPP) w/ employee discount
  

Our people are the Heart of Accolade

Together,we are building a great and enduring businessthat truly makes an impact. At Accolade, we are committed to building aworkplace where all can grow and thrive.We do this by living our core values:

Member Obsessed

For everything we do, we ask ourselves: Is this going to make our member's life measurably better?

Be Fearless

We think differently. We do what's never been done. We are reinventing healthcare every step of the way.

Stronger Together

We honor the differences among one another and know that our unique perspectives drive us forward.

Genuine Care

We care deeply about the human beings we work with and serve. We have each other's back.

Embrace Reality

We bring the data, tell the truth, and trust each other.

Relentless Execution

We operate with a bias for action. Take initiative, move fast & have fun.

Accolade is committed to being a company that embraces a hybrid work environment where employees can enjoy the best of both worlds - the flexibility to work from home and the opportunity to have a common place to connect, collaborate, and innovate with others in-person. Our hybrid work model requires that employees who live within 40 miles of an Accolade office are required to be in the office for at least two days during the work week. Accolade will provide reasonable accommodation to qualified employees with disabilities or for a sincerely held religious belief.

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.

Accolade, Inc., PlushCare, Inc., and Accolade 2ndMD LLC will never ask you to pay to get a job. Anyone who does this is a scammer. Further, we will never send you a check and ask you to send on part of the money or buy gift cards with it. These are also scams. If you see or lose money to a job scam, report it to the Federal Trade Commission at ReportFraud.ftc.gov. You can also report it to your state attorney general.

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

2nd.MD

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