Quantum Health
  • - Clinical Services
  • Columbus, OH, USA
  • Full Time

Job Title:  Personal Care Guide, Nurse Care Coordinator

Working Group: Clinical Operations

Reports to: POD Manager

Location & Hours: This position is located at our office in Columbus, OH. The hours are Mon-Fri 1pm-10pm

Description: The Personal Care Guide Nurse is responsible for providing case management services for members of Quantum Health employer groups with catastrophic illnesses/ injuries, acute and chronic medical conditions. They also function as a clinical resource for other staff in the company such as Utilization Management, Patient Services, Client Services and Sales.

Role and Tasks:

  • Promote the mission and core values of Quantum Health
  • Identify members for specific case management and/or chronic condition management activities by utilizing established screening criteria
  • Apply the nursing process when actively managing members
  • Coordinate all services in an effort to provide integrated health services for each member
  • Provide benefit and health information to each member so they are able to make informed health decisions
  • Serve as member and provider advocate by educating and guiding through the complicated healthcare system
  • Assure quality of care by adhering to therapeutic standards; measuring health outcomes against member care goals and standards; making or recommending necessary adjustments; 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 database
  • Maintain a collaborative relationship among health care teams by communicating information, responding to requests, building rapport, participating in team problem-solving methods
  • Assist members and clients with wellness activities, enhanced benefits, behavioral incentives
  • 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
  • Utilize well developed critical thinking and interpersonal skills to problem solve and make knowledgeable recommendations for needed actions

 Skills and Qualifications:

  • Position requires that employees successfully PASS 2 TESTS during 6-7 weeks of on the job training. The first test is at the midpoint of training, for continued employment. The second test is at the completion of training, for continued employment. Training will be Monday – Friday from 9:00 AM – 6:00 PM. 
  • Unrestricted, active license as a Registered Nurse in the state of Ohio
  • BSN preferred
  • Minimum of two years clinical experience with direct patient care required
  • 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
  • Outstanding computer skills including Microsoft applications

 

Revised 1/9/2018

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