RN, Registered Nurse - Case Manager (hybrid WFH- Dublin, OH)

Description

Location : This position is located at our Dublin, OH campus with hybrid flexibility. Rotating work from home days. No no weekends or holidays

Who we are

Founded in 1999 and headquartered in Central Ohio, w ere a privately-owned , independent healthcare navigation organization . We believe that no one should have to navigate the cost and complexity of healthcare alon e, and w ere on a mission to make healthcare simpler and more effective for our millions of members . Our big-hearted, tech-savvy team fight s to ensure that our members get the care they need, when they need it, at the most affordable cost thats why we call ourselves Healthcare Warriors.

Were committed to building diverse and inclusive teams more than 2,000 of us and counting so if youre excited about this position, we encourage you to apply even if your experience doesnt match every requirement.

About the role

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 patient 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

#LI-HW1 #LI-Hybrid

Whats in it for you

What you should know

Phone Screen >

Online Assessment(s) >

Interview(s) >

Offer >

Background Check.

Reasonable Accommodation : Should you require reasonable accommodation(s) to participate in the application / interview / selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.

Recruiting Scams : Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.com. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking / direct / tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe youve encountered a recruiting scam, report it to the Federal Trade Commission and your states Attorney General .

Required

Preferred

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