RN, Registered Nurse Transplant Case Manager

Quantum Health • Dublin, OH

1d • Hybrid

About The Position

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 the complexity, financial impact , frequent resource utilization and variable acuity across the transplant continuum. Management begins at referral and follows through pre-transplant care, evaluation , and the transplant phase to post-transplant case closure. Location : This position is located at our Dublin, OH campus with hybrid flexibility.

Requirements

• Licensure : Current and active license as a Registered Nurse in the state of Ohio
• Experience: Minimum of two years clinical experience with direct patient care required
• 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
• Effective communication skills, both verbal and written.
• 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.
• Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.

Nice To Haves

• BSN preferred
• Certification in Case Management preferred within 2 years of hire
• Solid organ or bone marrow transplant experience desired

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 , and participating in team problem-solving methods.
• Serve as member and provider advocate by educating and guiding through the transplant process.
• Provide benefit and health information to each member so they are able to make informed health decisions.
• 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
• Be a transplant clinical resource for all Quantum Health work groups.
• Work closely with and provide updates to internal client executives and employer contacts for transplant patients.
• Maintain contact with the QH clinical staff for transfer of cases when appropriate.
• All other duties as assigned.

Benefits

• 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 $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.
• 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 This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees