RN Case Manager- Nurse CCM - Scottsdale - job 676723

Accolade, Inc.

Date: 04/08/2021

City: Scottsdale, Arizona

Employment type: Full-time

Company Description



Accolade provides personalized health and benefits solutions designed to empower every person to live their healthiest life. Using a blend of cloud-based technologies, specialized support from Accolade Health Assistants® and Clinicians, and integrated data and programs across mobile, online and phone, Accolade navigates people through the healthcare system with trust, empathy and ease. Employers of all sizes offer Accolade to employees and their families as the single place to turn for all health, healthcare, and benefits questions or concerns, increasing their engagement in benefits and connecting them to the highest quality providers and care. By empowering people to make better decisions about their health, Accolade lowers the cost and complexity of healthcare, and achieves consumer satisfaction ratings over 90% and an NPS of 60. The company has been recognized multiple times as a Fastest Growing Business, Top Workplace and Company to Watch. For more information, visit Accolade on Twitter, Facebook, LinkedIn and at www.accolade.com.



Job Description




As an Accolade RN Case Manager-CCM, you will be a trusted go-to resource who helps our clients with any issues related to their health or health benefits.  You’ll have the opportunity to help clients get the right care at the right time… no problem is too big or too small. 


Accolade’s Case Management Team:


Accolade combines personal, dedicated support for consumers with extensive clinical needs to empower them to reach their optimal health and quality of life. Our RN Case Manager’s utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to achieving and maintaining optimal health status. Utilizes clinical skills to coordinate, document and communicate all aspects of Accolades case management program. Requires an RN with unrestricted active license and CCM certification.


Accolade’s NCQA Case Management Accreditation:


 Accolade holds a Case Management Accreditation from the prestigious National Committee for Quality Assurance (NCQA).  NCQA, the National Committee for Quality Assurance, is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information through the web and media in order to help consumers, employers and others make more informed health care choices.


 




Qualifications




Requirements: Education, License & Certifications, skills and experience to be successful in this role.



  • Hold a current/active Certified Case Manager License (CCM)- OR- willing to obtain within 1 year  

  • Ability to commute onsite to our Plymouth Meeting, PA a few days a week

  • Minimum of 5 years as an active Registered Nurse with a current unrestricted license 

  • Case management and Discharge Planning experience- Required

  • Utilization Management & Managed Care experience- Preferred

  • Computer strength is a MUST – you’ll be listening, talking, typing – all at one time
    • Specialty Case Management roles also available in High-Risk Maternity, NICU, and Oncology. 



A day in the life…


We do lot of great things over the phone, email, mobile instant messaging - on topics that include but are not limited to:



  • Be a trusted source > Building trust builds relationships > Building relationships enables you to ask deep rooted questions > Asking deep rooted questions enables you to influence care decisions

  • Conducting behavioral and clinical assessments to identify an individual’s behavioral and clinical needs in a holistic manner

  • Become knowledgeable on our clients’ employer-sponsored benefits so you’re able to answer questions around medical benefits, claims, care coordination and other complexities of the healthcare system. This will include Explain complicated medical and benefits terms in plain language

  • Educate individuals on appropriate care, and settings for their healthcare needs

  • Assist individuals to understand diagnostic tests, test alternatives, costs, risks, treatment options, preparing for hospital admissions, inpatient stays and discharge

  • Interfacing with clients’ health plans to facilitate coverage and care decisions, and direct individuals do facilities, agencies and specialists for care, work with client-appointed delegates and interface with providers to coordinate care

  • Get a holistic view of who our clients are, understand what’s important to them and provide options so they can make an informed decision about their true care needs

  • Educate and empower our clients so they’re able to confidently navigate the healthcare system – getting the right care at the right time is important 

  • Advocate for our clients who can’t advocate for themselves


What kind of projects would they work on outside of day to day?


  • Making Accolade the best place to work in the world is an “all in” job. Our Health Assistants area involved in Employee Resource Groups, Spirit Committees and other projects as they gain tenure in the organization.



Additional Information




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. 


All your information will be kept confidential according to EEO guidelines.





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