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RN Clinical Care Navigator,Government Solutions (RN/CCM/LCSW)

Learn more about Accolade
Accolade

Accolade

RN Clinical Care Navigator,Government Solutions (RN/CCM/LCSW)

Seattle, WA
Full Time
Paid
  • Responsibilities

    ACCOLADE AT A GLANCE...

    Accolade is a personalized health and benefits solution that dramatically improves the experience, outcomes and cost of healthcare for employers, health plans and their members. With a unique blend of compassionate advisors, clinical experts and intelligent technologies, we engage individuals and families in their health, establish trust, and influence their decisions at every stage of care. Accolade connects the widest array of personal health data and programs to present a single point of contact to the most effective health and benefits resources, while coordinating with providers at every step. Accolade consistently achieves 70 and higher Net Promoter Scores, 98% consumer satisfaction ratings, and up to 15% employer cost savings. Accolade has been recognized as one of the nation's 25 most promising companies by Forbes, a fastest-growing private healthcare company by Inc. 5000, and is consistently rated a Top Workplace across the country. For more information, visit accolade.com.

    JOB DESCRIPTION

    ROLE OVERVIEW

    As a Government Solutions Autism Care Navigator reporting to a Clinical Steward, you will be a trusted go-to resource for beneficiaries in the Autism Care Demonstration. In this role, you will collaborate and oversee the assessment, planning, facilitation, care coordination, evaluation, and become an advocate for options and services to support a beneficiary's comprehensive health needs and achieve cost-effective outcomes. You'll have the opportunity to help beneficiaries get the right care at the right time... no problem is too big or too small.

    A DAY IN THE LIFE...

    • Become the singular point of contact for a beneficiary and their family, building trusted relationships with them
    • Conduct initial and ongoing behavioral and clinical assessments to identify an individual's unique needs and develop tailored care plans
    • Gain a holistic view of who our beneficiaries are, understand what's important to them and provide options so they can make an informed decision about their healthcare
    • Educate beneficiaries on ASD and any of their related co-morbid diagnoses
    • Educate on the Autism Care Demonstration and their TRICARE benefits
    • Assess for and prevent gaps in care or delays in accessing care
    • Monitor and communicate with family/beneficiary on upcoming referrals, authorizations, outcome measures and other program requirements

    COORDINATE MEDICAL AND BEHAVIORAL HEALTH SERVICES

    • Co-ordinate and collaborate with the beneficiary's care providers to ensure a cohesive plan is in place
    • Ensure any co-morbid diagnosis are treated or addressed by evidenced based medical interventions through TRICARE benefit and/or State/Federal and local level resources
    • Drive parent engagement thru access to parent focused programs and available trainings
    • Utilize TRICARE specific outcome measures and HNFS clinical necessity review for goal planning
    • Address stagnation and/or regression in outcome measure scores with the family
    • Participate in medical team conferences with civilian & military primary and specialty care providers
  • Qualifications

    WHAT WE ARE LOOKING FOR...

    • A Registered Nurse, Certified Case Manager, Clinical Psychologist, or Licensed Clinical Social Worker with a current unrestricted license.
    • A minimum of 5 years of active practice in their respective clinical area
    • Clinical experience in pediatrics, behavioral health and/or ASD
    • Case Management and Discharge planning experience - Preferred
    • Utilization Management & Managed Care experience - Preferred
    • Computer strength is a MUST - you'll be listening, talking, typing - all at one time
    • Be an empathetic critical thinker - there are no scripts here - speak with your mind and heart, be able to think outside of the box
    • Possess excellent communication skills, organization skills with a high tolerance for change

    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, beneficiaries 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.

  • Industry
    Health, Wellness and Fitness
  • About Us

    Accolade connects the widest array of personal health data and programs to present a single point of entry to the most effective health and benefits resources using a unique blend of compassionate advisors, clinical experts and intelligent technologies.