RN Complex Care Specialist

Quartz • Madison, WI

20h • Onsite

About The Position

Are you a Registered Nurse with experience in complex care and a passion for improving the lives of individuals with high-acuity health needs? Join our team at Quartz, where you’ll play a crucial role in enhancing the health outcomes of our members through specialized care. As an RN Complex Care Specialist, you will lead the management and coordination of care for members with high-acuity health needs. Your responsibilities will include conducting clinical assessments, developing individualized care plans, and collaborating with providers and families to optimize health outcomes. Additionally, you will evaluate member self-management skills, identify barriers, and utilize shared decision-making models to enhance their ability to manage chronic conditions effectively.

Requirements

• Active WI RN or compact state license is a mandatory requirement.
• Bachelor or Associates Degree in Nursing.
• 3 + years in clinical nursing, case management, or care coordination.
• Strong critical thinking and problem-solving abilities.
• Excellent communication and interpersonal skills to engage diverse populations.
• Proficiency with electronic health records (EHR) and care management systems.
• Knowledge of and skills in complex care management using CCM, CMSA, and/or ACM models.
• Proficiency using Epic systems and remote monitoring programs.
• Cultural competence and sensitivity to work with individuals from varied backgrounds.

Nice To Haves

• Experience with complex care or chronic disease management preferred.
• Case Management (CCM) certification preferred or willingness to obtain within one year.

Responsibilities

• Conduct thorough assessments to determine member health objectives and obstacles to care.
• Develop and implement individualized care plans in collaboration with the care team.
• Act as a strong advocate, valuable resource, and dedicated educator for members and their families.
• Leverage chronic disease management concepts, including health screenings and other preventive health activities to support member's self-management skills.
• Coordinate care transitions and ensure continuity across providers, services, and settings.
• Adhere to relevant NCQA standards to ensure that all outreach, care plans, and assessments fully comply with NCQA requirements.
• Collaborate with team to meet Key Performance Indicators (KPI's).

Benefits

• 8 am – 5 pm , full-time hours and no weekends or holidays.
• Supportive and experienced team members to assist with training and complex cases
• Opportunity to exercise clinical judgement and serve as a trusted Subject Matter Expert to positively impact the care and lives of Quartz patients.
• Compensation starting pay range: $72,500-$90,600.
• Opportunity for career advancement
• Professional culture built upon the foundations of Respect, Responsibility, Relationships & Resourcefulness.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree