RN, Care Management Team Lead

3 days ago

Dublin OH, United States quantum-health Full time

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.
Founded in 1999 and headquartered in Central Ohio, w e’re 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 e’re 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 – that’s why we call ourselves Healthcare Warriors®.
We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.
The Clinical Team Lead - Registered Nurse (RN) partners with our Pod leaders and assigned clinical professionals to ensure that all clinical activities within the assigned Pod consistently meet the Quantum Health clinical standards, facilitating high quality outcomes for our members and clients. This leader serves as a role model and coach to the clinicians and Care Coordinators within their team/Pod.
Counsel Care Coordinators / Patient Service Representatives and provide clinical guidance as needed in a highly collaborative, phone/web conferencing contact center environment.
Collaborate with the clinical team/Pod leaders to assist members and providers in the care coordination process.
Provide ongoing coaching, education, mentorship and evaluation for the Pod clinical staff; Assist with training/precepting of new clinical staff.
Partner with Pod leaders in communicating client/benefit changes that affect clinical or Pod operations.
Maintain a working knowledge of all clinical workflows and policies; Bachelor of Science in Nursing (BSN) preferred.
~ Active Certification in Case Management (CCM) preferred.
~2+ years of clinical experience with direct patient care required; Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
~ Experience in care management/coordination programs and services preferred.
~ Comfortable communicating with members and providers via phone regularly throughout the day.
~ 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 information daily.

#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.

Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
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.
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
Internal Associates: Already a Healthcare Warrior? Process: Application Phone Screen Online Assessment(s) Interview(s) Offer Background Check.
Diversity, Equity and Inclusion: Quantum Health welcomes everyone. 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 details published by job boards are estimates and not verified by Quantum Health. Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
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.
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.
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.Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc.

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