RN, Registered Nurse Case Manager High Risk Maternity
Share
Job Location:
Dublin, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
7 hours ago
Vacancies:
1 Vacancy
Job Summary
Description
Location: This position is located at our Dublin OH campus with hybrid flexibility.
Who we are
Founded in 1999 and headquartered in Central Ohio were a privately-owned independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone and were 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 thats why we call ourselves Healthcare Warriors.
Were committed to building diverse and inclusive teams more than 2000 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 Personal Care Guide Nurse High Risk Maternity is responsible for providing case management services for members of Quantum Health employer groups identified with high-risk pregnancies and families of NICU babies up to one year of life. Upon identification the High Risk Maternity PCG will outreach to the members to provide support regarding: Benefits and coverage network steerage monitoring & management of health symptoms assistance in understanding and compliance with treatment plan depression screening post-delivery care and any other identified needs through management of each member. They also function as a clinical resource for other staff in the company such as Utilization Management & Patient Services.
What youll do
- Identify members for specific case management activities by utilizing established screening criteria.
- Coordinate all services in an effort to provide integrated health services for each member and/or their family.
- Apply the nursing process when actively managing 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 among 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 complicated healthcare system.
- 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.
- Assure quality of care by adhering to therapeutic standards; measuring health outcomes against member care goals and standards; 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.
- Maintain a working knowledge of all policies and procedures related to Clinical Operations.
- 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.
- Assist members and clients with wellness activities enhanced benefits behavioral incentives.
- All other duties as assigned.
What youll bring
- Active license as a Registered Nurse in the state of Ohio BSN preferred
- Minimum of two years clinical experience with direct patient care
- Minimum of one year experience with Mother/Infant Labor & Delivery and/or NICU experience preferred
- Possess excellent critical thinking skills
- Certification in Case Management preferred
- Strong customer service skills
- Possess excellent verbal and written communication skills
- Possess excellent time management skills
- Ability to make decisions that are timely and achieve results consistent with the business goals and organizational culture
- Ability to work independently with minimal supervision
- Protect and take care of our company and members data every day by committing to work within our company ethics and policies.
- 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.
#LI-HW1 #LI-Hybrid
Whats 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 $5250 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 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 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 candidates 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.
- 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.
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 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 Experience:
Manager
Key Skills
- EMR Systems
- Hospital Experience
- Acute Care
- ICU Experience
- Hospice Care
- Workers' Compensation Law
- Home Care
- Nursing
- Catheterization
- Critical Care Experience
- Medication Administration
- Tube Feeding
About Company
Quantum Health offers a uniquely powerful solution to drive healthcare navigation benefits performance while blending technology, cost savings, utilization, and member satisfaction.
