About this role

The Registered Nurse I, Surgery Care reports to the Manager, Clinical Operations, Surgery Care and supports members through theirTranscarentSurgeryCarejourney.Thisrole combines foundational clinical judgment, member navigation, and operational coordination to ensure members receivetimely,accurate, and high-quality support.

In this role, the RN Ioperateswithin a defined functional scope, either Surgery Care Coordination or COE Engagement. The RN Iis responsible forexecuting established workflows,maintainingaccuratedocumentation, and supporting case progression under defined standards. Through consistent application ofTranscarentworkflows and quality expectations, theRN Icontributes to a seamless member experience.

The RN IupholdsTranscarent’smission, values, and quality by delivering clinicallyappropriate guidance, clear communication, and reliable follow-through while developing the skills needed to take on expanded responsibility over time.

Whatyou’lldo

As a Registered Nurse I, Surgery Care, you will execute core Surgery Care workflows within your assigned function, applying clinical judgment, operational processes, and documentation standards to support members and provider partners. You will work within established guidelines while buildingproficiency, consistency, and confidence in your role.

CareCoordination

Conduct clinical intake, ensuringaccurateunderstanding of symptoms, history, risk factors, and surgery readiness
Assess member appropriateness for the Surgery Care program and identifyappropriate COEplacementin accordance withestablished criteria
Provide clear education to membersregardingprogram 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, andvalidaterequired clinical documentation, forms, clearances, tests, consult notes, imaging, and consents
Track case status and advance members through established workflows
Maintainaccurateandtimelydocumentation of all interactions and decisions within internal systems
Identifyand escalate clinical risks, barriers, or workflow issues as appropriate

COE Engagement

Serve as a clinical point of contact for assigned COEs, ensuring efficient communication from referral through post-op follow-up.
Prepare andsubmitcomplete referral packets for COE review, confirming casereceiptand monitoring review status.
Obtain key updates including acceptance/denial decisions, consult dates,requirednext steps, and surgical approval items.
Review andvalidateCase 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.
MaintainaccurateCOE 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 andexpeditecare.
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

General

Identifyand escalate workflow gaps and proactively partner with leadership and peers to implement improvements
Contribute to quality assurance efforts by evaluating clinical documentation,identifyingissues, and escalating asappropriate.
Uphold HIPAA, professional standards, and organizational policies while delivering clinicallyappropriate guidance.

Education Requirements

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

Whatwe’relooking for

Registered Nurse with active multi-state licensure.
Clinical experience in surgery or a related specialty preferred.
Strong written, verbal, and interpersonal communication skills with a service-oriented, member-first mindset.
Proficiencyin 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.

Nice to have

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.

As a remote position, the salary range for this role is:

$90,000

—

$90,000 USD

Who we are

Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Transcarent’s AI-powered WayFinding, comprehensive Care Experiences – Cancer Care, Surgery Care, Weight – and Pharmacy Benefits offerings combined with Accolade’s health advocacy, expert medical opinion, and primary care, allows us to meet people wherever they are on their health and care journey. Together, more than 20 million people have access to the combined company’s offerings. Employers, health plans, and leading point solutions rely on us to provide trusted information, increase access, and deliver care.

We are looking for teammates to join us in building our company, culture, and Member experience who:

Put people first, and make decisions with the Member’s best interests in mind
Are active learners, constantly looking to improve and grow
Are driven by our mission to measurably improve health and care each day
Bring the energy needed to transform health and care, and move and adapt rapidly
Are laser focused on delivering results for Members, and proactively problem solving to get there

Total Rewards

Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate’s skills, experience, market demands, and internal equity.

Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options.

Our benefits and perks programs include, but are not limited to:

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

Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out!

Research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current health and care with their unique experiences.

Registered Nurse I - Surgery Care

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