Registered Nurse I, MSK/MS

About the role

The Registered Nurse I, Expert Medical Opinion reports to the Manager, Clinical Operations and supports members through their Expert Medical Opinion journey. In this role, the RN I operates within a defined functional scope focused on expert medical opinion case intake, clinical coordination, member support, and case progression.

Responsibilities

• Execute core EMO workflows within your assigned function, applying clinical judgment, operational processes, and documentation standards to support members and internal care teams.
• Engage members through inbound and outbound communication, providing education on available services and connecting them with relevant internal programs and benefits when appropriate.
• Meet queue expectations through timely, efficient case handling.
• Identify and escalate clinical risks, barriers to case progression, or workflow issues as appropriate.
• Participate in team meetings and care team discussions, contributing insights and supporting a collaborative care environment.
• Contribute to quality assurance efforts by evaluating clinical documentation, identifying issues, and escalating as appropriate.
• Provide high-touch education, coaching, referrals, and network steerage tailored to the needs of each member.
• Facilitate referrals to local providers, agencies, or facilities as needed and support continuity of care across the member journey.
• Identify and document successful case outcomes in accordance with internal processes and quality expectations.
• Collaborate across interdisciplinary care teams to maintain continuity of care and coordinate support across functions.
• Contribute to continuous improvement by identifying workflow gaps and proactively partnering with leadership and peers to implement improvements.

Requirements

• Bachelor of Science in Nursing (BSN) or Registered Nurse (RN) with a bachelor’s degree.
• Minimum of 3-5 years of clinical experience; or Associate Degree in Applied Science (AAS) or Associate Degree in Nursing (ADN) with a minimum of 5-6 years of clinical experience.
• Active multi-state licensure.
• Minimum of 1 year of telephonic nursing experience.
• Strong written, verbal, and interpersonal communication skills with a service-oriented, member-first mindset.
• Proficiency in navigating multiple technologies and systems, including EMRs and other professional technology platforms, while multitasking effectively across listening, typing, and member interaction.
• Excellent organization, critical thinking, and problem-solving skills.
• Ability to remain focused, flexible, and effective in a dynamic healthcare environment.
• Demonstrated empathy, strong listening skills, and the ability to support members through complex or emotionally challenging health situations.
• Commitment to continuing education and ongoing professional development.

Qualifications

• Minimum of 2-3 years of direct patient care or case management experience.
• Experience in one or more of the following: specialty clinic or office setting, utilization management, triage, managed care, or discharge planning.
• Familiarity with health plans, population health, and value-based healthcare programs.
• Experience supporting members with specialty conditions, complex diagnoses, or chronic health concerns.
• Experience collaborating across interdisciplinary care teams and operational partners.
• Ability to write clear, concise clinical summaries and case documentation.

Skills

• Strong clinical judgment and operational processes.
• Effective communication and interpersonal skills.
• Proactive problem-solving and risk identification.
• Collaborative teamwork and cross-functional coordination.
• Clear and concise writing and documentation skills.

Benefits

• Competitive medical, dental, and vision coverage.
• A generous 401(k) plan with a company match.
• Flexible time off/paid time off, 13 paid holidays.
• Protection plans including life insurance, disability insurance, and supplemental insurance.
• Mental health and wellness benefits.

Pay

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).

Schedule

Regular hours are typically Monday through Friday, with some evening and weekend availability as needed.