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location_0_addressCountryName

OFFSITE

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jobPosting hiringOrganization as json hashed.

ADAPTED_NOW

Patient Representative

Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement. 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!

KBSkills

ACTIVE

<h3>Description</h3><p/><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">At a glance</div><ul style="background-repeat:no-repeat;outline:none;margin:0pt;padding:0px 0px 0px 0pt;list-style:inside disc;color:rgb( 38 , 50 , 56 );font-family:'open sans' , 'helvetica';font-size:14px;font-style:normal;font-weight:400;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">HiringClasses:Next hiring classes scheduled for February 2025+</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Location:This position is located at our Dublin, OH campus.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">StartingPay:$18+per/hour</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Shift Differential:+ $0.50 per/hour between 11:00am-8:30pm EST; + $1.50 between 12:00pm-10:00pm EST</li></ul><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"></div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">Who weare</div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.</div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"></div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.</div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"></div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">About the role</div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">ThePatient Service Representative (PSR)is Quantum Health’s entry point into healthcare navigation. Some people know them as Care Coordinators, but they’re so much more. They’re tech-savvy helpers,investigatorsand problem solvers. They interact with our members,cliniciansand service providers on the phone, using leading technology to simplify the complex healthcare landscape.They’re oursecret sauce.Most importantly – no experience is required. Our paid six-week training program provides everything needed to succeed in this rapidly growing industry.</div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"></div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">Learn more by watching the<a href="https://quantum-health.com/customer-service/" rel="nofollow" style="background:no-repeat transparent;outline:none;color:rgb( 5 , 99 , 193 );text-decoration:underline;font-weight:600">“What it means to Warrior with us” video, here</a>!</div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"></div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">What you’ll do</div><ul style="background-repeat:no-repeat;outline:none;margin:0pt;padding:0px 0px 0px 0pt;list-style:inside disc;color:rgb( 38 , 50 , 56 );font-family:'open sans' , 'helvetica';font-size:14px;font-style:normal;font-weight:400;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Provide exceptional customer service through inbound/outbound calls in our modern, fast-paced, contact center environment.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Offer empathetic member guidance, including verification of benefits and creation of authorizations for treatment based on the members’ health plan.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Ask probing questions to recognize additional patient needs, including those beyond their current healthcare benefits and provide additional resources/solutions whenever possible.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Act as an advocate for our members by communicating with network liaisons, clinical professionals and finance staff members at hospitals and medical offices.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Partner with internal clinical professionals in providing member guidance and identify when members should be connected directly with Quantum Health Nurses.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Investigate financial discrepancies and claim issues to ensure our members and clients are billed appropriately.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Participate in stretch assignments, specialprojectsand leadership development programming, as available, to gain business exposure and build a rewarding career with the organization.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">All other duties as assigned.</li></ul><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"></div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">What you’ll bring</div><ul style="background-repeat:no-repeat;outline:none;margin:0pt;padding:0px 0px 0px 0pt;list-style:inside disc;color:rgb( 38 , 50 , 56 );font-family:'open sans' , 'helvetica';font-size:14px;font-style:normal;font-weight:400;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Education: High School Diploma or General Education Development (GED) equivalent required.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Strong customer service skills with a caring personality, willing to put in extra effort to ensure our members are taken care of during potentially difficult times.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Excellent communication skills (spoken and written); comfortable talking on the phone for extended periods of time and replying to emails in a timely manner.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Ability to quickly master new technologies; Naturally curious approach to solving problems and working more efficiently.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Willingness to routinely, reliably come to work on schedule and adjust shift/scheduling based on the needs of the organization (including occasional paid overtime).</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.</li><li style="background-repeat:no-repeat;outline:none;margin:0pt 0pt 0pt 26.5pt;list-style:inherit;font-family:serif;font-size:10pt;padding-left:9.5pt;text-indent:0pt">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.</li></ul><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px"></div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">--</div><div style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 38 , 50 , 56 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">#LI-ONSITE</div><p><br/><br/><b>What’s in it for you</b><br/></p><ul><li><b>Compensation:</b> Competitive base and incentive compensation</li><li><b>Coverage:</b> 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.</li><li><b>Retirement:</b> 401(k) plan with up to 4% employer match and full vesting on day one.
</li><li><b>Balance:</b> Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.</li><li><b>Development:</b> Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.</li><li><b>Culture:</b> Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.</li><li><b>Environment:</b> 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!</li></ul><br/><br/><p><b>What you should know</b></p><br/><ul><li><b>Internal Associates:</b> Already a Healthcare Warrior? Apply internally through Jobvite.</li><li><b>Process:</b> Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.</li><li><b>Diversity, Equity and Inclusion:</b> Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an <a href="https://quantum-health.com/diversity-equity-inclusion/" rel="nofollow"> equal opportunity employer </a>.<p/></li><li><b>Tobacco-Free Campus:</b> To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.</li><li><b>Compensation Ranges:</b> Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.</li><li><b>Sponsorship:</b> Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.</li><li><b>Agencies:</b> Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.</li></ul><br/><br/><p><b>Reasonable Accommodation:</b> Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, <p>AccommodationRequests@quantum-health.com?subject=%20</p> to submit a recruitment accommodation request.</p><br/><br/><p><b>Recruiting Scams:</b> Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.com. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you’ve encountered a recruiting scam, report it to the <a href="https://ReportFraud.ftc.gov/" rel="nofollow"> Federal Trade Commission</a> and <a href="https://www.usa.gov/state-attorney-general/" rel="nofollow"> your state’s Attorney General</a>.</p>

quantum-health

Patient Service Representative

Administrative Skills

Attorney

Background Investigation

Banking Services

Call Centers

Candidate Screening

Communication Skills

Community Health

Customer Support/Service

Dry Cleaning

Federal Trade Commission

Finance

Fitness

Food Services

Health Plan

Health Plan Membership

Healthcare

Higher Education

Hospital

Information/Data Security (InfoSec)

Leadership

Legal

Life Insurance

Medical Office

Microsoft Excel

Microsoft Office

Microsoft Outlook

Microsoft PowerPoint

Microsoft Word

Nursing

Organizational Skills

Patient Care

Patient Care Authorizations

Presentation/Verbal Skills

Problem Solving Skills

Reimbursement

Technical Leadership

Time Management

Videoconferencing

Appcast Exclusive 1

Behavioral Health Specialist

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! Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.

<h3>Description</h3><p/><div><div><p style="margin:0pt">Location: This position is located at our Dublin, OH campus.</p><p style="margin:0pt"/><p style="margin:0pt">Who we are</p><p style="margin:0pt">Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization.We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®. </p><p style="margin:0pt"/><p style="margin:0pt">We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.</p><p style="background-color:rgb( 255 , 255 , 255 );margin:0pt"/><p style="background-color:rgb( 255 , 255 , 255 );margin:0pt">About the role</p><p style="background-color:rgb( 255 , 255 , 255 );margin:0pt">The Behavioral Health Utilization Management Clinician provides utilization management for all behavioral health and substance use disorder levels of care as indicated per the Health Benefit Plan. The clinician is responsible for processing all clinical documentation and appropriately reviewing the services requested against plan language and appropriate criteria; within the designated time frames indicated. The Behavioral Health Utilization Management Clinician also partners with providers and facilities to assist with discharge planning. The Behavioral Health Utilization Management Clinician provides the highest level of customer service both internally and externally to promote quality, medically necessary, cost-effective care.</p><p style="background-color:rgb( 255 , 255 , 255 );margin:0pt"/><p style="background-color:rgb( 255 , 255 , 255 );margin:0pt">What you’ll do</p><ul style="margin:0pt;padding-left:0pt"><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Assess and review all requests for all behavioral health and substance use disorder inpatient and outpatient levels of care and transitions in relation requiring clinical review against plan language and the appropriate clinical criteria. Conduct initial clinical review, concurrent review, and retrospective review. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Utilize critical thinking and clinical knowledge to make independent decisions and determinations, following Quantum Health workflows. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Utilize Quantum Health adopted clinical criteria during all aspects of the review process and document outcomes in authorization database. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Facilitate discharge planning process during concurrent review and post discharge. This includes making arrangements for Residential, PHP, IOP and other outpatient services. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Communicate with patient, provider, facility, and internal work groups regarding outcome of requests. Promote the mission and core values of Quantum Health. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Research status of vague or questionable procedures and present to the Chief Medical Officer/Physician Peer Reviewer for review. Notify Chief Medical Officer/Physician Peer Reviewer of all potential non-certifications within the appropriate time frames. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Prepare and present high-quality medical reviews for MD collaboration and determination. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Facilitate communication between medical providers including external review agencies. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Negotiate for services needed if no clear benefit exists or if the services can only be provided out of network. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Coordinate health management services to provide integrated health services for each patient and provide benefit and health information to patients, caregivers, providers, and facilities so they can make informed health decisions. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Re-direction of out of network service requests to in network whenever possible to ensure members obtain the optimum benefit. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Identify potential cases for high risk/high cost and refer to the appropriate case management team. Maintain contact with internal clinical staff for transfer of cases for medical management when appropriate. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Maintain a working knowledge of all Quantum Health workflows. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Be a clinical resource for all Quantum Health work groups. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Provide monitoring and oversight of non-clinical staff activities and be available to non-clinical staff during Quantum Health’s business hours. </li><li style="background-color:rgb( 255 , 255 , 255 );font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">All other duties as assigned.</li></ul><p style="background-color:rgb( 255 , 255 , 255 );margin:0pt"/><p style="background-color:rgb( 255 , 255 , 255 );margin:0pt">What you’ll bring</p><ul style="margin:0pt;padding-left:0pt"><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Registered nurse with active license in Ohio or Licensed Social Worker with active license in Ohio</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Minimum of 4 years’ experience in a Behavioral Health setting</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Experience in health management preferred</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Ability to make decisions that are timely and that achieve results consistent with business goals and organizational culture</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Driven to work independently with limited need for daily supervision</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Possess excellent verbal and written communication skills</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Strong ability to communicate effectively with patients, physician practices, hospital facilities</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Aptitude to research and identify issues using critical thinking</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Perform as a team member with the working group, interact professionally with other entities both internally and externally</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Proactively present issues and ask questions</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Outstanding computer skills, navigating multiple systems, and Microsoft applications</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Protect and take care of our company and member’s data every day by committing to work within our company ethics and policies</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.</li><li style="font-family:serif;font-size:10pt;margin:0pt 0pt 0pt 26.5pt;padding-left:9.5pt;text-indent:0pt">Trustworthy and accountable behavior, capable of viewing and maintaining confidential information daily.</li></ul><p style="margin:0pt"/><p style="margin:0pt">#LI-HW1 #LI-Hybrid </p><p style="margin:0pt"/></div></div><p><br/><br/><b>What’s in it for you</b><br/></p><ul><li><b>Compensation:</b> Competitive base and incentive compensation</li><li><b>Coverage:</b> 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.</li><li><b>Retirement:</b> 401(k) plan with up to 4% employer match and full vesting on day one.
</li><li><b>Balance:</b> Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.</li><li><b>Development:</b> Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.</li><li><b>Culture:</b> Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.</li><li><b>Environment:</b> 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!</li></ul><br/><br/><p><b>What you should know</b></p><br/><ul><li><b>Internal Associates:</b> Already a Healthcare Warrior? Apply internally through Jobvite.</li><li><b>Process:</b> Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.</li><li><b>Diversity, Equity and Inclusion:</b> Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an <a href="https://quantum-health.com/diversity-equity-inclusion/" rel="nofollow"> equal opportunity employer </a>.<p/></li><li><b>Tobacco-Free Campus:</b> To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.</li><li><b>Compensation Ranges:</b> Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.</li><li><b>Sponsorship:</b> Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.</li><li><b>Agencies:</b> Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.</li></ul><br/><br/><p><b>Reasonable Accommodation:</b> Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, <p>AccommodationRequests@quantum-health.com?subject=%20</p> to submit a recruitment accommodation request.</p><br/><br/><p><b>Recruiting Scams:</b> Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.com. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you’ve encountered a recruiting scam, report it to the <a href="https://ReportFraud.ftc.gov/" rel="nofollow"> Federal Trade Commission</a> and <a href="https://www.usa.gov/state-attorney-general/" rel="nofollow"> your state’s Attorney General</a>.</p>

Behavioral Health Utilization Management Clinician

Behavioral Health

Case Management

Clinical Study Publications

Compensation and Benefits

Concurrency

Contact Management

Corporate Policies

Discharge Plans

Establish Priorities

Healthcare Providers

Healthcare Quality

Identify Issues

Mail Processing

Maintenance Services

Medical Treatment

Multitasking

Negotiation Skills

Organizational Culture

Outpatient Care

PHP Scripting Language (PHP Hypertext Preprocessor)

Registered Nurse (RN)

Risk

Social Work

Utilization Management

Writing Skills

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