Accolade, Inc.

Full Time Registered Nurse - Behavioral Health Complex Case Manager (CCM) - Remote

Posted on

October 5, 2025

Job Type

Full-Time

Role Type

Behavioral Health

License

RN

State License

Compact / Multi-State

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Company Description

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

Job Description

Accolade's Complex Case Management is currently Recruiting for a Full Time Behavioral Health Registered Nurse - Complex Case Manager. We’re hiring for a start date of November 3rd. This position is remote and applicants will be required to work 8:00am to 4:30pm your local time. Applicants with licensure in California, Michigan, and Illinois with a Compact licensure is strongly preferred. Role overview: As Behavioral Health Registered Nurse Complex Case Manager, you will be reporting to Clinical Manager for The Complex Case Management. As an RN Complex Case Manager – Behavioral Health, you will serve as a trusted resource for our adult and pediatric 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.  You will also support Medical Cases as needed.

Requirements

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 unrestricted licensure. Additional licensure in CA, MI, and IL preferred. 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.  Preferred Skills:   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.  

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Responsibilities

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. 

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