MVRC Columbus will be hosting Quantum Health for a hiring fair TODAY from 1-4 p.m., for Patient Services Representatives and various nursing positions. Bring your Resume and dress to impress!
Patient Service Representatives (PSRs)
Patient Service Representatives (PSRs) have the opportunity to make a difference in people’s lives every day, while working in a collaborative, employee-centered environment focused on caring for our members. We are looking for empathetic, energetic, smart & service-minded healthcare warriors to join our team.
As a PSR, you are the first point of contact for our members and their healthcare providers. Whether answering a seemingly simple question, or unraveling a complicated billing issue, the primary role of the PSR is to serve as an advocate for our members. By working directly with members, as well as providers, caregivers and other vendors on the member’s behalf, we take the confusion out of the complex healthcare system.
Roles and Tasks:
Skills and Qualifications:
Nursing opportunities* at Quantum Health include but are not limited to:
Personal Care Guide/Nurse Care Coordinator (RN): This 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.
Pre Certification Nurse (RN or LPN): The precertification nurse is responsible for reviewing all requests for medical services requiring clinical review against Quantum’s Health adopted criteria. This role also requires collaborating with physician peer reviewers when services requested do not meet criteria for approval. The precert nurse has opportunity to assist with care coordination services for the member and provider as well as identify members who may benefit from a referral to care management services.
Utilization Management Nurse (RN or LPN): This nurse is responsible for providing utilization management services for Quantum Health members in an inpatient healthcare setting. This includes conducting initial clinical review, concurrent review, and retrospective review. The role also entails facilitation of discharge planning that includes coordinating services for skilled nursing care, rehabilitation, home infusion, and other outpatient ancillary services.
Specialty Nurse Care Coordinator (Transplant, Oncology, and Behavioral Health): This nurse facilitates care coordination services for members and providers in specific specialty areas. The position requires a multidisciplinary and collaborative approach that assists the member and provider in managing the complexity of the services needed during the member’s healthcare journey.
Clinical Team Lead (RN): The Clinical Team Lead is responsible for working in partnership with the POD Management Team and clinical staff in the assigned POD(s) to ensure consistency of clinical activities within Quantum Health’s clinical program. This position will also serve as a coach and role model to promote Quantum Health’s mission and core values.
Clinical Quality Coach (RN): The Quality Coach is part of a team that routinely evaluates the member journey in all aspects, as provided by our clinical staff. Evaluations will cover both clinical standards and care coordination opportunities. Based on these evaluations, the Quality Coach will participate in providing feedback to clinical professionals on their performance, and provide coaching and ideas for enhancing their performance.
*All nursing opportunities require an unrestricted, active nursing license in the state of Ohio and a minimum 2 years clinical experience with direct patient care.
Join our Quantum culture which rewards hard work while having fun! Benefits include:
Want to join our winning culture? Then apply today at http://www.quantum-health.com/careers/