RN, Registered Nurse Transplant Case Manager in Dublin, OH

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®. 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. About the role The Transplant Nurse (PCG) facilitates care coordination for a member with the potential for a transplant, including hematologic malignancies and end stage disease processes. The position requires a multidisciplinary, collaborative approach to manage complexity, financial impact, frequent resource utilization and variable acuity across the transplant continuum. Management begins at referral and follows through pre-transplant care, evaluation, the transplant phase to post-transplant case closure. Location: This position is located at our Dublin, OH campus with hybrid flexibility. 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 benefits 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 division's 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. • 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 case rate agreements, access agreements, and negotiated agreements as required by client plan design. • Assist members and clients with wellness activities, enhanced benefits, behavioral incentives • Other duties as assigned What you’ll bring (Qualifications) • Licenses/Certifications: Current and active license as a Registered Nurse in the state of Ohio, BSN preferred • Experience: Minimum of two years clinical experience with direct patient care required • Certification in Case Management preferred • 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 • Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently. • A high degree of personal accountability and trustworthiness, a commitment to working within Quantum Health’s policies, values and ethics, and to protecting the sensitive data entrusted to us.