Transcarent · 6 days ago
Manager, Clinical Operations, Surgery Care
Transcarent is a company focused on personalized health and care experiences. The Manager, Clinical Operations for Surgery Care is responsible for leading a multidisciplinary team, ensuring high-quality member care, operational excellence, and continuous improvement throughout the Surgery Care journey.
Health CarePersonal HealthSoftware
Responsibilities
Lead and develop a team of RN Care Coordinators, COE Engagement RNs, and non-clinical Care Coordinators, ensuring clear expectations, accountability, and high performance
Conduct ongoing coaching, quality reviews, and performance evaluations; create individualized development plans as needed
Ensure consistent delivery of clinical standards, documentation accuracy, and adherence to workflows across all roles
Promote a culture of collaboration, psychological safety, accountability, and member-centered care
Oversee daily operations including case distribution, coverage planning, queue and caseload balancing, and prioritization of urgent needs
Ensure timely progression of members through the surgical review and COE pathways, from intake through scheduling and approvals
Monitor operational KPIs, quality metrics, and process compliance; proactively address trends or gaps
Partner with COEs, providers, facilities, and internal teams to resolve escalations or barriers impacting member care
Support quality assurance initiatives, audits, and complaint/service recovery processes
Identify workflow issues across clinical and non-clinical functions and recommend or implement process improvements to reduce friction and improve throughput
Collaborate with leadership to implement new initiatives, clinical programs, and system changes
Serve as a key operational liaison with teams including Benefits, Travel, Billing/PRE, Medical Records, Clinical Programs, COEs, and Product/Tech
Provide clinical and operational insights for new client implementations, workflow rollouts, and technology enhancements
Participate in leadership meetings, calibrations, audits, and cross-department committees as required
Manage scheduling, WFM updates, PTO approvals, attendance oversight, and staffing coverage planning
Facilitate onboarding, training, competency validation, and ongoing professional development for all roles
Contribute to strategic planning for the Surgery Care program, including future growth, staffing models, and standardization of best practices
Maintain compliance with all regulatory, policy, and documentation standards
Qualification
Required
BSN or RN with bachelor's degree
Minimum of 5-7 years of Clinical Experience; or AAS or ADN degree
Minimum of 7-8 years of Clinical Experience
Registered Nurse with active, multistate licensure required
Demonstrated adaptability and comfort working in dynamic, evolving workflows and technologies
Demonstrated success leading clinical teams in a healthcare or care coordination environment
Strong understanding of surgical pathways, COE workflows, and clinical decision-making
Ability to coach diverse roles (RNs and non-clinical staff) with tailored feedback and development strategies
Proven experience managing high-volume workflows, SLAs, quality metrics, and operational performance
Excellent communication skills, including the ability to convey clinical concepts clearly to both clinicians and non-clinicians
Strength in conflict resolution, critical thinking, and collaborative problem solving
Comfortable working in fast-paced, technology-driven environments with changing priorities
Ability to build relationships with internal partners, external providers, and Centers of Excellence
Preferred
Clinical experience in surgery or a related specialty preferred
Experience in surgical care management, COE programs, utilization management, or perioperative care
Familiarity with Salesforce, EMRs, and multi-system navigation
Experience supporting telehealth, virtual care navigation, or digital member engagement models
Background in process improvement (Lean, Six Sigma, or similar methodologies)
Experience supporting cross-functional initiatives involving product, clinical operations, and provider networks
Benefits
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
Company
Transcarent
Transcarent is a provider of a healthcare platform that facilitates improved outcomes and cost-effective decisions.
Funding
Current Stage
Late StageTotal Funding
$905M2025-04-08Series D· $481M
2024-05-02Series D· $126M
2022-01-11Series C· $200M
Recent News
2025-12-31
2025-11-20
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