Healthcare Navigator
5 days ago
About the Company
Founded in 1999, Quantum Health is a privately-owned, independent healthcare navigation organization headquartered in Central Ohio. 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 Culture
We're a big-hearted, tech-savvy team driven by our people-first values that drive every decision. We're dedicated to diversity, philanthropy, and sustainability, and we've been recognized as a Best Place to Work for 15 years.
The Role
We're seeking a skilled Registered Nurse (RN) Case Manager to join our cross-functional care team. As a key member of this team, you'll provide clinical expertise and integrated health approaches to guide our members through the complexities of healthcare. Your goal will be to apply nursing processes to actively manage members and achieve integrated health services through coordinated service efforts.
Key Responsibilities
- 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 division's 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
Requirements
- Bachelor of Science in Nursing (BSN) preferred
- 2 years of clinical experience with direct patient care required
- 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
What We Offer
- 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
About You
If you're excited about this position, we encourage you to apply - even if your experience doesn't match every requirement.
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