Registered Nurse, Case Manager
Company: Quantum Health
Location: Amlin
Posted on: May 28, 2023
Job Description:
Description Welcome Bonus: $2,500.00 for external candidates
(N/A for rehires)Location: This position is located at our Dublin,
OH campus.Multistate Licensure: Quantum Health nurses must be
willing and able to obtain and maintain nursing licensure in
multiple states, as required by the business. All application and
filing fees will be paid by Quantum Health.Were on a mission to
make healthcare simpler and more effective. We fight to ensure our
members get the care they need, when they need it, at the most
affordable cost thats what makes us Healthcare Warriors. Were
committed to building diverse and inclusive teams, so if youre
excited about this position, we encourage you to apply even if your
experience doesnt match every requirement.The Registered Nurse (RN)
Case Manager is a key member of a cross-functional care team,
driven by their mutual devotion to serve others. Members view Case
Managers as their personal care guides, advocating for them during
some of the most challenging times of their lifefacing catastrophic
illness, injury or acute and chronic medical conditions. The Case
Managers clinical expertise and integrated health approach provides
each unique patient with education and guidance as they navigate
the complexities of health care. What youll do
- Identify members for specific case management and/or chronic
condition management activities using established screening
criteria.
- Apply nursing processes to actively manage members and achieve
integrated health services through coordinated service
efforts.
- Provide education and guidance to members and providers to
successfully navigate healthcare complexities.
- Maintain high quality of care by adhering to therapeutic
standards, measuring health outcomes against member care goals and
standards, making/recommending necessary care adjustments, and
following hospital and nursing divisions philosophies and standards
of care set by state board of nursing, state nurse practice act and
other governing agency regulations
- Document all activities specific to members, caregivers,
providers, facilities and clients in appropriate databases.
- Maintain collaborative relationships amongst health care teams
through effective communication, responsiveness, building rapport
and collaborative problem solving.
- Assist members and clients with wellness activities, enhanced
benefits and behavioral incentives.
- All other duties as assigned. What youll bring
- Licensure: Active license in good standing as a?Registered
Nurse?(RN) in Ohio required.
- Education: Bachelor of Science in Nursing (BSN) preferred.
- Certification: Active Certification in Case Management (CCM)
preferred.
- Experience: 2+ years of clinical experience with direct patient
care required; 5+ years preferred.
- Experience in case management/coordination of programs and
services preferred.
- Excellent verbal and written communication skills. Comfortable
communicating with members and providers via phone regularly
throughout the day.
- Ability to communicate effectively with members and providers
in implementing?clinical services; Translate complex clinical
concepts for non-clinical audiences.
- Strong administrative/technical skills; Comfort working on a PC
using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video
conferencing (Teams & Zoom), and telephones efficiently.
- Trustworthy and accountable behavior, capable of viewing and
maintaining confidential personal information daily. Whats in it
for you
- Compensation: Competitive base pay, incentive plans and
employee referral bonuses.
- Coverage: Health, vision and dental featuring our best-in-class
healthcare navigation services, along with life insurance, legal
and identity protection, adoption assistance, EAP, Teladoc services
and more.
- Retirement: 401(k) plan with up to 4% employer match and full
vesting on day one.
- Balance: Paid Time Off (PTO), 7 paid holidays, parental leave,
volunteer days, paid sabbaticals, and more.
- Development: Tuition reimbursement up to $5,250 annually,
certification/continuing education reimbursement, discounted higher
education partnerships, paid trainings and leadership
development.
- Culture: Recognition as a Best Place to Work for 15+ years,
dedication to , and people-first values that drive every
decision.?
- Environment: A modern workplace with a casual dress code, open
floor plans, full-service dining, free snacks and drinks,
complimentary 24/7 fitness center with group classes, outdoor
walking paths, game room, notary and dry-cleaning services and
more! Check out our home: What you should know
- Internal Associates: Already a Healthcare Warrior? Apply
internally through Jobvite.
- Process: Application > Phone Screen > Online
Assessment(s) > Interview(s) > Offer > Background
Check
- Diversity, Equity and Inclusion: Quantum Health welcomes
everyone. We value our diverse team and suppliers, were committed
to empowering our ERGs, and were proud to be an .
- Agencies:?Quantum Health does not accept unsolicited resumes or
outreach from third-parties. Absent a signed MSA and
request/approval from Talent Acquisition to submit candidates for a
specific requisition, we will not approve payment to any third
party.?
- Sponsorship: Applicants must be legally authorized to work in
the United States on a permanent and ongoing future basis without
requiring sponsorship.#LI-HW1 #LI-OnsiteNote: Compensation
information published by job boards are estimates and not verified
by Quantum Health. Details surrounding compensation will be
disclosed throughout the interview process. Compensation offered is
based on the candidates unique combination of experience and
qualifications related to the position.
Keywords: Quantum Health, Columbus , Registered Nurse, Case Manager, Healthcare , Amlin, Ohio
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