RN Case Manager

Clinical Columbus, Ohio


The Personal Care Guide Nurse (RN Case Manager) is responsible for providing professional 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.

Location & Hours: This is a telephonic position located onsite at our offices in Columbus, OH. Available shifts are 9a-6p, 10a-7p, and 11a-8p

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:

  • This position requires that employees successfully PASS 2 TESTS during 6 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. 
  • Active license as a Registered Nurse in the state of Ohio
  • BSN preferred
  • 5 years clinical experience with direct patient care preferred. Minimum 2 years required. 
  • Possess excellent critical thinking skills
  • Experience and/or Certification in Case Management (CCM) 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

Join our Quantum culture which rewards hard work while having fun! 

Benefits include:

  • Paid Time Off and Paid Holidays
  • Medical/dental/vision insurance including domestic partner benefits
  • 401(k) with match up to 4%
  • On-site amenities include fitness facility, ping pong table, serenity room with massage chairs
  • Education reimbursement after a year of service
  • Engagement Teams allow for involvement throughout company

Quantum Health is an Equal Opportunity Employer