Registered Nurse Transplant Case Manager

Who We Are Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®. Location : This position is located at our Dublin, OH campus with hybrid flexibility or Remote What You’ll Do (Essential Responsibilities) Identify and assess members with the potential for solid organ or bone marrow transplant, end stage renal disease and hematologic malignancies. Apply the nursing process when actively case managing transplant members. Utilize well-developed critical thinking and interpersonal skills to problem-solve and make knowledgeable recommendations for needed actions. Document all activities specific to members, caregivers, providers, facilities and clients in appropriate database. Maintain a collaborative relationship with members’ health care teams by communicating information, responding to requests, building rapport, participating in team problem-solving methods. Serve as member and provider advocate by educating and guiding through the transplant process. Provide benefit and health information to each member so they are able to make informed health decisions. Promote the mission and core values of Quantum Health. Maintain a working knowledge of all policies and procedures related to Clinical Operations. Work closely with and provide updates to internal client executives and employer contacts for transplant patients. Maintain a working knowledge of employer health benefit plans and know where to access benefit information. Be a clinical resource for all Quantum Health work teams. Maintain working knowledge of Transplant Vendor contracts, single caserate agreements, access agreements, and negotiated agreements as required by client plan design. Assist members and clients with wellness activities, enhanced benefits, behavioral incentives. Be a transplant clinical resource for all Quantum Health work groups. Maintain contact with the QH clinical staff for transfer of cases when appropriate. All other duties as assigned. What You’ll Bring (Qualifications) Licensure and Credentialing: Must hold an active, unrestricted, and unencumbered professional license in good standing with the state board of licensure as a Registered Nurse (RN). Where applicable, clinicians must hold a Multi-State License (MSL) issued through the relevant licensure compact (e.g., Nurse Licensure Compact for RNs). For clinicians in states that do not offer MSL, or for disciplines for which an MSL program has not been launched, employees must be willing and able to obtain and maintain additional state licenses as required to support members served by the organization. Both the MSL and individual state licenses must be obtained within 90 days of hire. Maintenance of required licensure, including timely renewal and compliance with state board regulations, is a condition of employment. The Certified Case Manager (CCM) credential from the Commission for Case Manager Certification is strongly preferred upon hire for clinicians performing case management functions. Employees hired without the certification are required to obtain the CCM within 24 months of hire or role placement. Once obtained, the employee must maintain the CCM credential in good standing and complete all continuing education and renewal requirements established by the certifying body. Failure to maintain required certification may result in removal from case management duties or other corrective action. Education: Bachelor’s of Nursing preferred Experience: Minimum of two years clinical experience with direct patient care required Outstanding computer skills including Microsoft applications Excellent critical thinking skills Possess excellent verbal and written communication skills Possess excellent time management skills Demonstrate ability to work autonomously Solid organ or bone marrow transplant experience desired Protect and take care of our company and member’s data every day by committing to work within our company ethics and policies. What’s In It For You Compensation: Competitive base and incentive compensation 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 diversity, philanthropy and sustainability, 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! What You Should Know Internal Associates: Already a Healthcare Warrior? Apply internally through Lever Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an equal opportunity employer. Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds. Compensation Ranges: Compensation details 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 candidate’s unique combination of experience and qualifications related to the position. Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship. #J-18808-Ljbffr Quantum Health