Registered Nurse I, Surgery Care

About the role

Transcarent is hiring a Registered Nurse I for its Surgery Care function. The role supports members through their Surgery Care journey, combining clinical judgment, member navigation and operational coordination so that members receive timely, accurate and high-quality support. The RN I works within a defined functional scope, either Surgery Care Coordination or COE Engagement, executing established workflows, keeping accurate documentation and advancing cases under defined standards.

Key responsibilities

• Care Coordination: conduct clinical intake, assess member appropriateness for the program and identify the right COE placement, educate members on program requirements and timelines, coordinate scheduling, benefits, pre-authorization and facility coordination, and track case status
• Obtain, review and validate clinical documentation, forms, clearances, tests, consult notes, imaging and consents, and maintain accurate records of interactions and decisions
• Identify and escalate clinical risks, barriers or workflow issues, and contribute to quality assurance by reviewing clinical documentation
• COE Engagement: act as clinical point of contact for assigned COEs, prepare and submit referral packets, obtain acceptance/denial decisions and follow up on Case Approval Forms
• Maintain COE account records and referral data in Salesforce, and partner with Clinical, PRE, AE, Medical Records, Scheduling, Benefits, Travel, Provider Relations and Operations teams to resolve barriers
• Take part in weekly operations meetings with COEs, serve as a resource for colleagues, and help identify workflow gaps and improve them

Required profile

• BSN or RN with a bachelor's degree plus 3-5 years of clinical acute care experience, or AAS/ADN plus 5-6 years of clinical acute care experience
• Active multi-state nursing licensure
• Clinical experience in surgery or a related specialty preferred
• Available to work Monday to Friday, 9:00am to 5:30pm CST
• Nice to have: multidisciplinary team experience, experience with high-stakes clinical decisions, member-focused communication and de-escalation, familiarity with clinical documentation standards, and experience presenting clinical summaries in team settings

Required skills

• Proficiency with Microsoft Office, EMRs, contact center platforms and Salesforce
• Strong written, verbal and interpersonal communication
• Organization, critical thinking, problem solving and attention to detail

What we offer

• Budgeted salary of $90,000, with eligibility for a corporate bonus program or sales incentive and stock options
• Medical, dental and vision coverage, 401(k) with company match, and 13 paid holidays
• Protection plans, mental health and wellness benefits