Accolade is currently recruiting for a Full Time Registered Nurse Behavioral Health Complex Case Manager.

Accolade's Complex Case Management is currently Recruiting for a Full Time Behavioral Health Registered Nurse - Complex Case Manager.

This position is remote and applicants will be required to work 8:00am to 4:30pm your local time with a September 3rd start date.

As Behavioral Health Registered Nurse Complex Case Manager, you will be reporting to Clinical Manager – Complex Case Management,is responsible for: As an RN Complex Case Manager – Behavioral Health, you will serve as a trusted resource for our members, managing both behavioral health concerns and complex chronic conditions. You will conduct thorough assessments, prioritize medical needs, develop personalized care plans, and guide members through their healthcare journey. This role combines clinical case management expertise with a focus on behavioral health expert support and personalized member support.

A day in the life…

Accolade RN Complex Case Manager – Behavioral Health 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:

Engage with members via telephonic and digital communication to provide education on Accolade's services, clinical programs, and appropriate program enrollment.
Conduct comprehensive assessments of members' health concerns, including behavioral and clinical assessments to identify holistic needs.
Proactively engage with member’s providers, as appropriate, to coordinate care, facilitate treatment plan adherence, overcome barriers, and optimize utilization of available resources.
Develop personalized plans of care in collaboration with interdisciplinary care teams and members to support their healthcare journey.
Advocate for members to receive timely and appropriate care, navigating health plans and facilitating coverage decisions.
Communicate complex medical information clearly and effectively, including tests, procedures, costs, risks, and treatment options.
Guide members and their delegates to appropriate employer & health plan provided point solutions, facilities, agencies, providers, and specialists for their medical needs.

What we are looking for…

Minimum of 5-7 years of Clinical Experience as an active Registered Nurse with an unrestricted license.
BSN or RN with bachelor's degree and/or AAS or ADN degree with 7-8 of years of experience
Current/valid Registered Nurse (RN) license with compact licensure.
Minimum 2 additional years of direct care or case management experience in behavioral health
1 Year of telephonic case management experience.
Certified Case Manager (CCM) certification or commitment to obtain within one year of hire.
Ability to navigate EMR technologies and multitask effectively (listening, typing, member interaction).
Flexibility and adaptability in a dynamic healthcare environment, with strong teamwork and communication skills.
Commitment to continuing education.

Experience in utilization management, managed care, and discharge planning.
Familiarity with health plans, population health, and value-based healthcare programs.

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.

This job description is intended to convey information essential to understanding the scope of the CCM-BH position, but is not exhaustive of the responsibilities, requirements, and preferred skills, and is tailored to reflect a comprehensive position that encompasses both behavioral health and complex case management within Accolade.

Job Type: Full-time

Pay: $54,058.59 - $99,418.34 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Tuition reimbursement

Schedule:

8 hour shift
Monday to Friday

Application Question(s):

Do you have a BSN with minimum 5 years of experience or an ADN degree with a minimum of 7 years of experience ?

Experience:

Nursing: 5 years (Required)
direct care case management experience in behavioral health: 2 years (Required)
telephonic case management: 1 year (Required)

License/Certification:

RN License (Required)

Work Location: Remote

Accolade

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Registered Nurse (RN) - Behavioral Health Complex Case Manager